Lafayette Nursing Home - Lafayette Nursing Home

General Information

UPDATE
Federal Provider Number
15414
Provider Name
LAFAYETTE NURSING HOME
Provider Address
555 B STREET SW
LAFAYETTE, AL 36862
Provider Phone Number
(334) 864-9371
Provider SSA County
80
Provider County Name
Chambers
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
63
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAFAYETTE NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid services
1991-01-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27642
Reported LPN Staffing Hours per Resident per Day
0.64717
Reported RN Staffing Hours per Resident per Day
0.41698
Reported Licensed Staffing Hours per Resident per Day
1.06415
Reported Total Nurse Staffing Hours per Resident per Day
3.34057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00283
Expected CNA Staffing Hours per Resident per Day
2.21844
Expected LPN Staffing Hours per Resident per Day
0.55900
Expected RN Staffing Hours per Resident per Day
0.86090
Expected Total Nurse Staffing Hours per Resident per Day
3.63835
Adjusted CNA Staffing Hours per Resident per Day
2.51783
Adjusted LPN Staffing Hours per Resident per Day
0.96091
Adjusted RN Staffing Hours per Resident per Day
0.36191
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70099
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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