Live Oak - Shreveport Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
195597
Provider Name
LIVE OAK
Provider Address
600 EAST FLOURNOY LUCAS ROAD
SHREVEPORT, LA 71115
SHREVEPORT, LA 71115
Provider Phone Number
(318) 212-2000
Provider SSA County
80
Provider County Name
Caddo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
142
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MULTI-FAITH RETIREMENT SERVICES
Date First Approved to Provide Medicare and Medicaid services
2004-07-07
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73944
Reported LPN Staffing Hours per Resident per Day
1.32042
Reported RN Staffing Hours per Resident per Day
0.39085
Reported Licensed Staffing Hours per Resident per Day
1.71127
Reported Total Nurse Staffing Hours per Resident per Day
4.45071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03979
Expected CNA Staffing Hours per Resident per Day
2.25620
Expected LPN Staffing Hours per Resident per Day
0.57957
Expected RN Staffing Hours per Resident per Day
0.94011
Expected Total Nurse Staffing Hours per Resident per Day
3.77588
Adjusted CNA Staffing Hours per Resident per Day
2.97924
Adjusted LPN Staffing Hours per Resident per Day
1.89097
Adjusted RN Staffing Hours per Resident per Day
0.31065
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75131
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-04-11
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
301
Cycle 3 Standard Health Survey Date
2012-02-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
301
Total Weighted Health Survey Score
55.50000
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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