Lakeview Terrace Skilled Nursing Facility - Altoona Nursing Home
General Information
UPDATEFederal Provider Number
106068
Provider Name
LAKEVIEW TERRACE SKILLED NURSING FACILITY
Provider Address
110 LODGE TERRACE DR
ALTOONA, FL 32702
ALTOONA, FL 32702
Provider Phone Number
(352) 669-2133
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
18
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEVIEW TERRACE HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2005-06-28
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.27500
Reported LPN Staffing Hours per Resident per Day
1.34444
Reported RN Staffing Hours per Resident per Day
1.18889
Reported Licensed Staffing Hours per Resident per Day
2.53333
Reported Total Nurse Staffing Hours per Resident per Day
5.80833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31667
Expected CNA Staffing Hours per Resident per Day
2.24091
Expected LPN Staffing Hours per Resident per Day
0.55189
Expected RN Staffing Hours per Resident per Day
1.10940
Expected Total Nurse Staffing Hours per Resident per Day
3.90220
Adjusted CNA Staffing Hours per Resident per Day
3.58598
Adjusted LPN Staffing Hours per Resident per Day
2.02194
Adjusted RN Staffing Hours per Resident per Day
0.80074
Adjusted Total Nurse Staffing Hours per Resident per Day
5.99990
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
28
Cycle 1 Standard Survey Health Date
2014-12-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.33300
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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