Lakewood Manor - Richmond Nursing Home

General Information

UPDATE
Federal Provider Number
495403
Provider Name
LAKEWOOD MANOR
Provider Address
1900 LAUDERDALE DRIVE
RICHMOND, VA 23238
Provider Phone Number
8047402900
Provider SSA County
370
Provider County Name
Goochland
Ownership Type
Non profit - Church related
Number of Certified Beds
96
Number of Residents in Certified Beds
90
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
2010-04-20
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
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56278
Reported LPN Staffing Hours per Resident per Day
1.34056
Reported RN Staffing Hours per Resident per Day
0.47611
Reported Licensed Staffing Hours per Resident per Day
1.81667
Reported Total Nurse Staffing Hours per Resident per Day
4.37945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19222
Expected CNA Staffing Hours per Resident per Day
2.50265
Expected LPN Staffing Hours per Resident per Day
0.54927
Expected RN Staffing Hours per Resident per Day
0.80281
Expected Total Nurse Staffing Hours per Resident per Day
3.85473
Adjusted CNA Staffing Hours per Resident per Day
2.51266
Adjusted LPN Staffing Hours per Resident per Day
2.02572
Adjusted RN Staffing Hours per Resident per Day
0.44313
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57961
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-22
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.00000
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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