Lake City Scranton Healthcare Center - Scranton Nursing Home
General Information
UPDATEFederal Provider Number
425149
Provider Name
LAKE CITY SCRANTON HEALTHCARE CENTER
Provider Address
1940 BOYD ROAD
SCRANTON, SC 29591
SCRANTON, SC 29591
Provider Phone Number
(843) 389-9201
Provider SSA County
200
Provider County Name
Florence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALMETTO LAKE CITY OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1983-07-21
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.08412
Reported LPN Staffing Hours per Resident per Day
0.91765
Reported RN Staffing Hours per Resident per Day
0.36294
Reported Licensed Staffing Hours per Resident per Day
1.28059
Reported Total Nurse Staffing Hours per Resident per Day
3.36471
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05353
Expected CNA Staffing Hours per Resident per Day
2.70709
Expected LPN Staffing Hours per Resident per Day
0.63875
Expected RN Staffing Hours per Resident per Day
0.93555
Expected Total Nurse Staffing Hours per Resident per Day
4.28139
Adjusted CNA Staffing Hours per Resident per Day
1.88904
Adjusted LPN Staffing Hours per Resident per Day
1.19241
Adjusted RN Staffing Hours per Resident per Day
0.28987
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16785
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
20.66700
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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