Lake Marion Nursing Facility - Summerton Nursing Home
General Information
UPDATEFederal Provider Number
425300
Provider Name
LAKE MARION NURSING FACILITY
Provider Address
1527 URBANA ROAD
SUMMERTON, SC 29148
SUMMERTON, SC 29148
Provider Phone Number
(803) 485-2317
Provider SSA County
130
Provider County Name
Clarendon
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
88
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARENDON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-03-11
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25179
Reported LPN Staffing Hours per Resident per Day
0.84583
Reported RN Staffing Hours per Resident per Day
0.55417
Reported Licensed Staffing Hours per Resident per Day
1.40000
Reported Total Nurse Staffing Hours per Resident per Day
3.65179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01845
Expected CNA Staffing Hours per Resident per Day
2.40985
Expected LPN Staffing Hours per Resident per Day
0.57711
Expected RN Staffing Hours per Resident per Day
0.90720
Expected Total Nurse Staffing Hours per Resident per Day
3.89416
Adjusted CNA Staffing Hours per Resident per Day
2.29276
Adjusted LPN Staffing Hours per Resident per Day
1.21648
Adjusted RN Staffing Hours per Resident per Day
0.45643
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78001
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
183
Cycle 1 Standard Survey Health Date
2013-11-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
183
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-09-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
2011-08-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
104.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
19825
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Windsor Manor
5583 Summerton Highway |
MANNING SC 29102 | 4.5 miles away