Lane Nsg Home An Affiliate Of Lane Reg Medical Ctr - Zachary Nursing Home

General Information

UPDATE
Federal Provider Number
195617
Provider Name
LANE NSG HOME AN AFFILIATE OF LANE REG MEDICAL CTR
Provider Address
6300 MAIN STREET
ZACHARY, LA 70791
Provider Phone Number
2256584345
Provider SSA County
160
Provider County Name
E. Baton Rouge
Ownership Type
Government - Hospital district
Number of Certified Beds
39
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Date First Approved to Provide Medicare and Medicaid services
2004-11-21
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31447
Reported LPN Staffing Hours per Resident per Day
0.88684
Reported RN Staffing Hours per Resident per Day
0.24079
Reported Licensed Staffing Hours per Resident per Day
1.12763
Reported Total Nurse Staffing Hours per Resident per Day
3.44210
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01447
Expected CNA Staffing Hours per Resident per Day
2.24420
Expected LPN Staffing Hours per Resident per Day
0.52981
Expected RN Staffing Hours per Resident per Day
0.75351
Expected Total Nurse Staffing Hours per Resident per Day
3.52752
Adjusted CNA Staffing Hours per Resident per Day
2.53053
Adjusted LPN Staffing Hours per Resident per Day
1.38933
Adjusted RN Staffing Hours per Resident per Day
0.23877
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93330
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
26
Cycle 1 Total Health Score
78
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-13
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
54.33300
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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