Lake Taylor Hosp - Norfolk Nursing Home
General Information
UPDATEFederal Provider Number
495117
Provider Name
LAKE TAYLOR HOSP
Provider Address
1309 KEMPSVILLE RD
NORFOLK, VA 23502
NORFOLK, VA 23502
Provider Phone Number
(757) 461-5001
Provider SSA County
641
Provider County Name
Norfolk City
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
192
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL AUTHORITY OF NORFOLK
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
3
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
1.89114
Reported LPN Staffing Hours per Resident per Day
1.54000
Reported RN Staffing Hours per Resident per Day
0.89257
Reported Licensed Staffing Hours per Resident per Day
2.43257
Reported Total Nurse Staffing Hours per Resident per Day
4.32371
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13229
Expected CNA Staffing Hours per Resident per Day
2.48550
Expected LPN Staffing Hours per Resident per Day
0.71639
Expected RN Staffing Hours per Resident per Day
1.31871
Expected Total Nurse Staffing Hours per Resident per Day
4.52060
Adjusted CNA Staffing Hours per Resident per Day
1.86694
Adjusted LPN Staffing Hours per Resident per Day
1.78423
Adjusted RN Staffing Hours per Resident per Day
0.50574
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85534
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.00000
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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