Lakeland Nursing And Rehabilitation Center Llc - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
255116
Provider Name
LAKELAND NURSING AND REHABILITATION CENTER LLC
Provider Address
3680 LAKELAND LANE
JACKSON, MS 39216
JACKSON, MS 39216
Provider Phone Number
(601) 982-5505
Provider SSA County
240
Provider County Name
Hinds
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
105
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKELAND NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
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
2.03081
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.64596
Reported Licensed Staffing Hours per Resident per Day
1.79596
Reported Total Nurse Staffing Hours per Resident per Day
3.82677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18485
Expected CNA Staffing Hours per Resident per Day
2.56668
Expected LPN Staffing Hours per Resident per Day
0.67679
Expected RN Staffing Hours per Resident per Day
1.21366
Expected Total Nurse Staffing Hours per Resident per Day
4.45713
Adjusted CNA Staffing Hours per Resident per Day
1.94142
Adjusted LPN Staffing Hours per Resident per Day
1.41034
Adjusted RN Staffing Hours per Resident per Day
0.39769
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46082
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
16
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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