Lakeside Nursing And Rehabilitation Center - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105980
Provider Name
LAKESIDE NURSING AND REHABILITATION CENTER
Provider Address
11411 ARMSDALE ROAD
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
Provider Phone Number
(904) 714-3793
Provider SSA County
150
Provider County Name
Duval
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
122
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE POINTS HEALTHCARE LTD
Date First Approved to Provide Medicare and Medicaid services
1998-01-24
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39454
Reported LPN Staffing Hours per Resident per Day
1.07983
Reported RN Staffing Hours per Resident per Day
0.45000
Reported Licensed Staffing Hours per Resident per Day
1.52983
Reported Total Nurse Staffing Hours per Resident per Day
3.92437
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06008
Expected CNA Staffing Hours per Resident per Day
2.28440
Expected LPN Staffing Hours per Resident per Day
0.67122
Expected RN Staffing Hours per Resident per Day
1.16698
Expected Total Nurse Staffing Hours per Resident per Day
4.12260
Adjusted CNA Staffing Hours per Resident per Day
2.57201
Adjusted LPN Staffing Hours per Resident per Day
1.33527
Adjusted RN Staffing Hours per Resident per Day
0.28813
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83708
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-26
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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