Lakeside Nursing Center - Lake City Nursing Home
General Information
UPDATEFederal Provider Number
45315
Provider Name
LAKESIDE NURSING CENTER
Provider Address
1207 WILLOW RUN ROAD
LAKE CITY, AR 72437
LAKE CITY, AR 72437
Provider Phone Number
(870) 237-8151
Provider SSA County
150
Provider County Name
Craighead
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKESIDE NURSING AND REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-09-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.06475
Reported LPN Staffing Hours per Resident per Day
0.79590
Reported RN Staffing Hours per Resident per Day
0.43607
Reported Licensed Staffing Hours per Resident per Day
1.23197
Reported Total Nurse Staffing Hours per Resident per Day
3.29672
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01885
Expected CNA Staffing Hours per Resident per Day
2.23930
Expected LPN Staffing Hours per Resident per Day
0.56177
Expected RN Staffing Hours per Resident per Day
0.86286
Expected Total Nurse Staffing Hours per Resident per Day
3.66394
Adjusted CNA Staffing Hours per Resident per Day
2.26244
Adjusted LPN Staffing Hours per Resident per Day
1.17592
Adjusted RN Staffing Hours per Resident per Day
0.37762
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62690
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
168
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
84
Cycle 2 Total Health Score
252
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
105.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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