Lake Eustis Health And Rehabilitation Center - Eustis Nursing Home
General Information
UPDATEFederal Provider Number
105001
Provider Name
LAKE EUSTIS HEALTH AND REHABILITATION CENTER
Provider Address
411 W WOODWARD AVE
EUSTIS, FL 32726
EUSTIS, FL 32726
Provider Phone Number
(352) 357-3565
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MF LAKE EUSTIS LLC
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.50568
Reported LPN Staffing Hours per Resident per Day
0.88636
Reported RN Staffing Hours per Resident per Day
0.88523
Reported Licensed Staffing Hours per Resident per Day
1.77159
Reported Total Nurse Staffing Hours per Resident per Day
4.27727
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07159
Expected CNA Staffing Hours per Resident per Day
2.46854
Expected LPN Staffing Hours per Resident per Day
0.66327
Expected RN Staffing Hours per Resident per Day
1.20011
Expected Total Nurse Staffing Hours per Resident per Day
4.33192
Adjusted CNA Staffing Hours per Resident per Day
2.49061
Adjusted LPN Staffing Hours per Resident per Day
1.10917
Adjusted RN Staffing Hours per Resident per Day
0.55115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98005
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
20
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-23
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.00000
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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