Life Care Center Of Winter Haven - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105792
Provider Name
LIFE CARE CENTER OF WINTER HAVEN
Provider Address
1510 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884
WINTER HAVEN, FL 33884
Provider Phone Number
(863) 318-8646
Provider SSA County
520
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
177
Number of Residents in Certified Beds
167
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.65599
Reported LPN Staffing Hours per Resident per Day
1.05210
Reported RN Staffing Hours per Resident per Day
0.47874
Reported Licensed Staffing Hours per Resident per Day
1.53084
Reported Total Nurse Staffing Hours per Resident per Day
4.18683
Reported Physical Therapist Staffing Hours per Resident Per Day
0.54760
Expected CNA Staffing Hours per Resident per Day
2.45806
Expected LPN Staffing Hours per Resident per Day
0.70920
Expected RN Staffing Hours per Resident per Day
1.27254
Expected Total Nurse Staffing Hours per Resident per Day
4.43980
Adjusted CNA Staffing Hours per Resident per Day
2.65127
Adjusted LPN Staffing Hours per Resident per Day
1.23132
Adjusted RN Staffing Hours per Resident per Day
0.28110
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80123
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
12
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
16
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
15.33300
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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