Lake Harris Health Center - Leesburg Nursing Home
General Information
UPDATEFederal Provider Number
105705
Provider Name
LAKE HARRIS HEALTH CENTER
Provider Address
701 LAKE PORT BLVD
LEESBURG, FL 34748
LEESBURG, FL 34748
Provider Phone Number
(352) 728-3366
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCRC - LAKE PORT SQUARE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-08-27
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.94867
Reported LPN Staffing Hours per Resident per Day
1.52434
Reported RN Staffing Hours per Resident per Day
0.53097
Reported Licensed Staffing Hours per Resident per Day
2.05531
Reported Total Nurse Staffing Hours per Resident per Day
5.00398
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31726
Expected CNA Staffing Hours per Resident per Day
2.40113
Expected LPN Staffing Hours per Resident per Day
0.67957
Expected RN Staffing Hours per Resident per Day
1.33327
Expected Total Nurse Staffing Hours per Resident per Day
4.41398
Adjusted CNA Staffing Hours per Resident per Day
3.01323
Adjusted LPN Staffing Hours per Resident per Day
1.86176
Adjusted RN Staffing Hours per Resident per Day
0.29757
Adjusted Total Nurse Staffing Hours per Resident per Day
4.56970
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-12
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
54.00000
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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