Lake City Nursing And Rehabilitation Center Llc - Lake City Nursing Home

General Information

UPDATE
Federal Provider Number
115535
Provider Name
LAKE CITY NURSING AND REHABILITATION CENTER LLC
Provider Address
2055 REX ROAD
LAKE CITY, GA 30260
Provider Phone Number
(404) 361-5114
Provider SSA County
280
Provider County Name
Clayton
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
242
Number of Residents in Certified Beds
230
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE CITY NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-01-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
2.13609
Reported LPN Staffing Hours per Resident per Day
0.80717
Reported RN Staffing Hours per Resident per Day
0.50978
Reported Licensed Staffing Hours per Resident per Day
1.31696
Reported Total Nurse Staffing Hours per Resident per Day
3.45304
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08109
Expected CNA Staffing Hours per Resident per Day
2.74585
Expected LPN Staffing Hours per Resident per Day
0.77972
Expected RN Staffing Hours per Resident per Day
1.24131
Expected Total Nurse Staffing Hours per Resident per Day
4.76688
Adjusted CNA Staffing Hours per Resident per Day
1.90881
Adjusted LPN Staffing Hours per Resident per Day
0.85922
Adjusted RN Staffing Hours per Resident per Day
0.30686
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91991
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-07-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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