Florida Nursing Homes >> Madison Nursing Homes >> Lake Park Of Madison

Lake Park Of Madison - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
105892
Provider Name
LAKE PARK OF MADISON
Provider Address
259 SW CAPTAIN BROWN RD
MADISON, FL 32340
Provider Phone Number
(850) 973-8277
Provider SSA County
390
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-08-25
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.59300
Reported LPN Staffing Hours per Resident per Day
1.06200
Reported RN Staffing Hours per Resident per Day
0.26400
Reported Licensed Staffing Hours per Resident per Day
1.32600
Reported Total Nurse Staffing Hours per Resident per Day
3.91900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.24182
Expected LPN Staffing Hours per Resident per Day
0.66406
Expected RN Staffing Hours per Resident per Day
0.94679
Expected Total Nurse Staffing Hours per Resident per Day
3.85267
Adjusted CNA Staffing Hours per Resident per Day
2.83807
Adjusted LPN Staffing Hours per Resident per Day
1.32737
Adjusted RN Staffing Hours per Resident per Day
0.20835
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10030
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-13
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
3380
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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