Medicana Nursing And Rehab Center - Lake Worth Nursing Home
General Information
UPDATEFederal Provider Number
105259
Provider Name
MEDICANA NURSING AND REHAB CENTER
Provider Address
1710 LAKE WORTH ROAD
LAKE WORTH, FL 33460
LAKE WORTH, FL 33460
Provider Phone Number
(561) 582-5331
Provider SSA County
490
Provider County Name
Palm Beach
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOVEREIGN HEALTHCARE OF MEDICANA, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.60460
Reported LPN Staffing Hours per Resident per Day
1.03103
Reported RN Staffing Hours per Resident per Day
0.62931
Reported Licensed Staffing Hours per Resident per Day
1.66034
Reported Total Nurse Staffing Hours per Resident per Day
4.26494
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06379
Expected CNA Staffing Hours per Resident per Day
2.49685
Expected LPN Staffing Hours per Resident per Day
0.70577
Expected RN Staffing Hours per Resident per Day
1.24164
Expected Total Nurse Staffing Hours per Resident per Day
4.44425
Adjusted CNA Staffing Hours per Resident per Day
2.55959
Adjusted LPN Staffing Hours per Resident per Day
1.21251
Adjusted RN Staffing Hours per Resident per Day
0.37871
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86826
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
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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