Lake Worth Nursing Home - Lake Worth Nursing Home
General Information
UPDATEFederal Provider Number
455507
Provider Name
LAKE WORTH NURSING HOME
Provider Address
4220 WELLS DR
LAKE WORTH, TX 76135
LAKE WORTH, TX 76135
Provider Phone Number
(817) 237-7184
Provider SSA County
910
Provider County Name
Tarrant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE WORTH INVESTMENTS INC.
Date First Approved to Provide Medicare and Medicaid services
1985-04-18
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
1.53395
Reported LPN Staffing Hours per Resident per Day
0.54259
Reported RN Staffing Hours per Resident per Day
0.31358
Reported Licensed Staffing Hours per Resident per Day
0.85617
Reported Total Nurse Staffing Hours per Resident per Day
2.39012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02222
Expected CNA Staffing Hours per Resident per Day
2.12157
Expected LPN Staffing Hours per Resident per Day
0.67915
Expected RN Staffing Hours per Resident per Day
1.00662
Expected Total Nurse Staffing Hours per Resident per Day
3.80734
Adjusted CNA Staffing Hours per Resident per Day
1.77409
Adjusted LPN Staffing Hours per Resident per Day
0.66311
Adjusted RN Staffing Hours per Resident per Day
0.23277
Adjusted Total Nurse Staffing Hours per Resident per Day
2.53047
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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