Lake Mary Health And Rehabilitation Center - Lake Mary Nursing Home
General Information
UPDATEFederal Provider Number
106029
Provider Name
LAKE MARY HEALTH AND REHABILITATION CENTER
Provider Address
710 NORTH SUN DRIVE
LAKE MARY, FL 32746
LAKE MARY, FL 32746
Provider Phone Number
4078053131
Provider SSA County
580
Provider County Name
Seminole
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
710 NORTH SUN DRIVE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2000-11-08
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81217
Reported LPN Staffing Hours per Resident per Day
0.80043
Reported RN Staffing Hours per Resident per Day
0.43087
Reported Licensed Staffing Hours per Resident per Day
1.23130
Reported Total Nurse Staffing Hours per Resident per Day
4.04347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22913
Expected CNA Staffing Hours per Resident per Day
2.43184
Expected LPN Staffing Hours per Resident per Day
0.66627
Expected RN Staffing Hours per Resident per Day
1.28301
Expected Total Nurse Staffing Hours per Resident per Day
4.38111
Adjusted CNA Staffing Hours per Resident per Day
2.83745
Adjusted LPN Staffing Hours per Resident per Day
0.99713
Adjusted RN Staffing Hours per Resident per Day
0.25093
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72025
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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