Lake Placid Health And Rehabilitation Center - Lake Placid Nursing Home

General Information

UPDATE
Federal Provider Number
105455
Provider Name
LAKE PLACID HEALTH AND REHABILITATION CENTER
Provider Address
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Provider Phone Number
8634657200
Provider SSA County
270
Provider County Name
Highlands
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
160
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SF LAKE PLACID LLC
Date First Approved to Provide Medicare and Medicaid services
1984-01-17
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.76156
Reported LPN Staffing Hours per Resident per Day
1.03781
Reported RN Staffing Hours per Resident per Day
0.65000
Reported Licensed Staffing Hours per Resident per Day
1.68781
Reported Total Nurse Staffing Hours per Resident per Day
4.44937
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20750
Expected CNA Staffing Hours per Resident per Day
2.70458
Expected LPN Staffing Hours per Resident per Day
0.71416
Expected RN Staffing Hours per Resident per Day
1.13139
Expected Total Nurse Staffing Hours per Resident per Day
4.55013
Adjusted CNA Staffing Hours per Resident per Day
2.50539
Adjusted LPN Staffing Hours per Resident per Day
1.20615
Adjusted RN Staffing Hours per Resident per Day
0.42928
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94164
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
16.66700
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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