Lakeshore Heartland - Nashville Nursing Home
General Information
UPDATEFederal Provider Number
44A114
Provider Name
LAKESHORE HEARTLAND
Provider Address
3025 FERNBROOK LANE
NASHVILLE, TN 37214
NASHVILLE, TN 37214
Provider Phone Number
(615) 885-2320
Provider SSA County
180
Provider County Name
Davidson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
57
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-10-10
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.39035
Reported LPN Staffing Hours per Resident per Day
0.81842
Reported RN Staffing Hours per Resident per Day
0.42982
Reported Licensed Staffing Hours per Resident per Day
1.24825
Reported Total Nurse Staffing Hours per Resident per Day
3.63859
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00526
Expected CNA Staffing Hours per Resident per Day
2.43041
Expected LPN Staffing Hours per Resident per Day
0.56135
Expected RN Staffing Hours per Resident per Day
0.75964
Expected Total Nurse Staffing Hours per Resident per Day
3.75140
Adjusted CNA Staffing Hours per Resident per Day
2.41326
Adjusted LPN Staffing Hours per Resident per Day
1.21009
Adjusted RN Staffing Hours per Resident per Day
0.42278
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90968
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-10-25
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-05-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.66700
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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