Lakeridge Ltc Partners Inc - Lubbock Nursing Home

General Information

UPDATE
Federal Provider Number
675853
Provider Name
LAKERIDGE LTC PARTNERS INC
Provider Address
4403 74TH ST
LUBBOCK, TX 79424
Provider Phone Number
(806) 795-0668
Provider SSA County
770
Provider County Name
Lubbock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKERIDGE LTC PARTNERS, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-12-06
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
2.38923
Reported LPN Staffing Hours per Resident per Day
0.73615
Reported RN Staffing Hours per Resident per Day
0.37462
Reported Licensed Staffing Hours per Resident per Day
1.11077
Reported Total Nurse Staffing Hours per Resident per Day
3.50000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03077
Expected CNA Staffing Hours per Resident per Day
2.25716
Expected LPN Staffing Hours per Resident per Day
0.76109
Expected RN Staffing Hours per Resident per Day
1.28035
Expected Total Nurse Staffing Hours per Resident per Day
4.29860
Adjusted CNA Staffing Hours per Resident per Day
2.59727
Adjusted LPN Staffing Hours per Resident per Day
0.80280
Adjusted RN Staffing Hours per Resident per Day
0.21862
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28203
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
208
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
104
Cycle 3 Total Health Score
312
Total Weighted Health Survey Score
130.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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