Florida Nursing Homes >> Tampa Nursing Homes >> Lakeshore Villas Health Care Center

Lakeshore Villas Health Care Center - Tampa Nursing Home

General Information

UPDATE
Federal Provider Number
105542
Provider Name
LAKESHORE VILLAS HEALTH CARE CENTER
Provider Address
16002 LAKESHORE VILLA DR
TAMPA, FL 33613
Provider Phone Number
(813) 968-5093
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
179
Number of Residents in Certified Beds
171
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
1986-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
0
QM Rating Footnote
Data Not Available
Staffing Rating
4
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
2.44152
Reported LPN Staffing Hours per Resident per Day
1.05760
Reported RN Staffing Hours per Resident per Day
0.71813
Reported Licensed Staffing Hours per Resident per Day
1.77573
Reported Total Nurse Staffing Hours per Resident per Day
4.21725
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11784
Expected CNA Staffing Hours per Resident per Day
2.51935
Expected LPN Staffing Hours per Resident per Day
0.67097
Expected RN Staffing Hours per Resident per Day
1.03622
Expected Total Nurse Staffing Hours per Resident per Day
4.22654
Adjusted CNA Staffing Hours per Resident per Day
2.37790
Adjusted LPN Staffing Hours per Resident per Day
1.30827
Adjusted RN Staffing Hours per Resident per Day
0.51783
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02204
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-04-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-10-18
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
21
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
389
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
389
Total Weighted Health Survey Score
102.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
46280
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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