Lanier Terrace - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
105666
Provider Name
LANIER TERRACE
Provider Address
12740 LANIER ROAD
JACKSONVILLE, FL 32226
JACKSONVILLE, FL 32226
Provider Phone Number
9047570600
Provider SSA County
150
Provider County Name
Duval
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
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
1989-10-01
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.82706
Reported LPN Staffing Hours per Resident per Day
1.20596
Reported RN Staffing Hours per Resident per Day
0.83853
Reported Licensed Staffing Hours per Resident per Day
2.04450
Reported Total Nurse Staffing Hours per Resident per Day
5.87155
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10505
Expected CNA Staffing Hours per Resident per Day
2.23764
Expected LPN Staffing Hours per Resident per Day
0.58466
Expected RN Staffing Hours per Resident per Day
0.88585
Expected Total Nurse Staffing Hours per Resident per Day
3.70815
Adjusted CNA Staffing Hours per Resident per Day
4.19660
Adjusted LPN Staffing Hours per Resident per Day
1.71201
Adjusted RN Staffing Hours per Resident per Day
0.70729
Adjusted Total Nurse Staffing Hours per Resident per Day
6.38260
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
112900
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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