Lakewood Nursing Center - Crescent City Nursing Home
General Information
UPDATEFederal Provider Number
105808
Provider Name
LAKEWOOD NURSING CENTER
Provider Address
100 N LAKE ST
CRESCENT CITY, FL 32112
CRESCENT CITY, FL 32112
Provider Phone Number
(386) 698-2222
Provider SSA County
530
Provider County Name
Putnam
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEWOOD NURSING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.83690
Reported LPN Staffing Hours per Resident per Day
1.61964
Reported RN Staffing Hours per Resident per Day
0.59524
Reported Licensed Staffing Hours per Resident per Day
2.21488
Reported Total Nurse Staffing Hours per Resident per Day
5.05178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06786
Expected CNA Staffing Hours per Resident per Day
2.31966
Expected LPN Staffing Hours per Resident per Day
0.68072
Expected RN Staffing Hours per Resident per Day
1.06254
Expected Total Nurse Staffing Hours per Resident per Day
4.06292
Adjusted CNA Staffing Hours per Resident per Day
3.00083
Adjusted LPN Staffing Hours per Resident per Day
1.97483
Adjusted RN Staffing Hours per Resident per Day
0.41859
Adjusted Total Nurse Staffing Hours per Resident per Day
5.01197
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.00000
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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