Lakeland Skilled Nursing And Rehabilitation - Angola Nursing Home
General Information
UPDATEFederal Provider Number
155596
Provider Name
LAKELAND SKILLED NURSING AND REHABILITATION
Provider Address
500 N WILLIAMS ST
ANGOLA, IN 46703
ANGOLA, IN 46703
Provider Phone Number
2606652161
Provider SSA County
750
Provider County Name
Steuben
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15833
Reported LPN Staffing Hours per Resident per Day
0.83611
Reported RN Staffing Hours per Resident per Day
0.85278
Reported Licensed Staffing Hours per Resident per Day
1.68889
Reported Total Nurse Staffing Hours per Resident per Day
3.84722
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07639
Expected CNA Staffing Hours per Resident per Day
2.50859
Expected LPN Staffing Hours per Resident per Day
0.66436
Expected RN Staffing Hours per Resident per Day
1.23061
Expected Total Nurse Staffing Hours per Resident per Day
4.40357
Adjusted CNA Staffing Hours per Resident per Day
2.11110
Adjusted LPN Staffing Hours per Resident per Day
1.04456
Adjusted RN Staffing Hours per Resident per Day
0.51779
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52163
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Northern Lakes Nursing And Rehabilitation Center
516 N Williams St |
ANGOLA IN 46703 | 0.1 mile away
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