Lake Village Rehabilitation And Care Center - Lake Village Nursing Home

General Information

UPDATE
Federal Provider Number
45184
Provider Name
LAKE VILLAGE REHABILITATION AND CARE CENTER
Provider Address
903 BORGOGNONI DRIVE
LAKE VILLAGE, AR 71653
Provider Phone Number
(870) 265-5337
Provider SSA County
80
Provider County Name
Chicot
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROGRESSIVE ELDERCARE SERVICES - CHICOT, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.86984
Reported LPN Staffing Hours per Resident per Day
0.96746
Reported RN Staffing Hours per Resident per Day
0.38333
Reported Licensed Staffing Hours per Resident per Day
1.35079
Reported Total Nurse Staffing Hours per Resident per Day
4.22063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06032
Expected CNA Staffing Hours per Resident per Day
2.30705
Expected LPN Staffing Hours per Resident per Day
0.62564
Expected RN Staffing Hours per Resident per Day
0.93316
Expected Total Nurse Staffing Hours per Resident per Day
3.86585
Adjusted CNA Staffing Hours per Resident per Day
3.05226
Adjusted LPN Staffing Hours per Resident per Day
1.28348
Adjusted RN Staffing Hours per Resident per Day
0.30694
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40082
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
257
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
257
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
139.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
38221
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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