Lake Crossing Health Center - Appling Nursing Home
General Information
UPDATEFederal Provider Number
115424
Provider Name
LAKE CROSSING HEALTH CENTER
Provider Address
6698 WASHINGTON ROAD
APPLING, GA 30802
APPLING, GA 30802
Provider Phone Number
(706) 541-0462
Provider SSA County
310
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE CROSSING HEALTH CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-17
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.43483
Reported LPN Staffing Hours per Resident per Day
1.18034
Reported RN Staffing Hours per Resident per Day
0.43371
Reported Licensed Staffing Hours per Resident per Day
1.61404
Reported Total Nurse Staffing Hours per Resident per Day
4.04888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.58234
Expected LPN Staffing Hours per Resident per Day
0.64839
Expected RN Staffing Hours per Resident per Day
1.06379
Expected Total Nurse Staffing Hours per Resident per Day
4.29452
Adjusted CNA Staffing Hours per Resident per Day
2.31354
Adjusted LPN Staffing Hours per Resident per Day
1.51094
Adjusted RN Staffing Hours per Resident per Day
0.30464
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80034
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-03-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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