Lakeside Rehabilitation And Care Center - Lubbock Nursing Home
General Information
UPDATEFederal Provider Number
675093
Provider Name
LAKESIDE REHABILITATION AND CARE CENTER
Provider Address
4306 24TH ST
LUBBOCK, TX 79410
LUBBOCK, TX 79410
Provider Phone Number
(806) 793-2555
Provider SSA County
770
Provider County Name
Lubbock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
65
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
1992-11-10
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
1.94615
Reported LPN Staffing Hours per Resident per Day
1.72538
Reported RN Staffing Hours per Resident per Day
0.65923
Reported Licensed Staffing Hours per Resident per Day
2.38462
Reported Total Nurse Staffing Hours per Resident per Day
4.33076
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09000
Expected CNA Staffing Hours per Resident per Day
2.60962
Expected LPN Staffing Hours per Resident per Day
0.87292
Expected RN Staffing Hours per Resident per Day
1.50081
Expected Total Nurse Staffing Hours per Resident per Day
4.98335
Adjusted CNA Staffing Hours per Resident per Day
1.82987
Adjusted LPN Staffing Hours per Resident per Day
1.64054
Adjusted RN Staffing Hours per Resident per Day
0.32821
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50304
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
52
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
1
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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