North Campus Rehabilitation And Nursing Center - Leesburg Nursing Home
General Information
UPDATEFederal Provider Number
105621
Provider Name
NORTH CAMPUS REHABILITATION AND NURSING CENTER
Provider Address
700 N PALMETTO ST
LEESBURG, FL 34748
LEESBURG, FL 34748
Provider Phone Number
(352) 323-5500
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NCRNC INC
Date First Approved to Provide Medicare and Medicaid services
1988-10-11
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
2
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
2.59091
Reported LPN Staffing Hours per Resident per Day
1.13182
Reported RN Staffing Hours per Resident per Day
0.55390
Reported Licensed Staffing Hours per Resident per Day
1.68571
Reported Total Nurse Staffing Hours per Resident per Day
4.27663
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22143
Expected CNA Staffing Hours per Resident per Day
2.35549
Expected LPN Staffing Hours per Resident per Day
0.73402
Expected RN Staffing Hours per Resident per Day
1.35550
Expected Total Nurse Staffing Hours per Resident per Day
4.44501
Adjusted CNA Staffing Hours per Resident per Day
2.69893
Adjusted LPN Staffing Hours per Resident per Day
1.27982
Adjusted RN Staffing Hours per Resident per Day
0.30533
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87820
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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