Lutheran Haven Nursing Home - Oviedo Nursing Home
General Information
UPDATEFederal Provider Number
106050
Provider Name
LUTHERAN HAVEN NURSING HOME
Provider Address
1525 HAVEN DRIVE
OVIEDO, FL 32765
OVIEDO, FL 32765
Provider Phone Number
(407) 365-3456
Provider SSA County
580
Provider County Name
Seminole
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
42
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HAVEN NURSING HOME AND ASSISTED LIVING FACILITY LLC
Date First Approved to Provide Medicare and Medicaid services
2003-02-11
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.66125
Reported LPN Staffing Hours per Resident per Day
0.93250
Reported RN Staffing Hours per Resident per Day
0.59375
Reported Licensed Staffing Hours per Resident per Day
1.52625
Reported Total Nurse Staffing Hours per Resident per Day
4.18750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14250
Expected CNA Staffing Hours per Resident per Day
2.42446
Expected LPN Staffing Hours per Resident per Day
0.61778
Expected RN Staffing Hours per Resident per Day
1.02865
Expected Total Nurse Staffing Hours per Resident per Day
4.07088
Adjusted CNA Staffing Hours per Resident per Day
2.69335
Adjusted LPN Staffing Hours per Resident per Day
1.25283
Adjusted RN Staffing Hours per Resident per Day
0.43129
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14637
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
145
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
145
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
64.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
106860
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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