Nuvista Living At Hillsborough Lakes - Lutz Nursing Home
General Information
UPDATEFederal Provider Number
106093
Provider Name
NUVISTA LIVING AT HILLSBOROUGH LAKES
Provider Address
19091 N DALE MABRY HWY
LUTZ, FL 33548
LUTZ, FL 33548
Provider Phone Number
(813) 751-0557
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSBOROUGH EXTENDED CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2012-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.83989
Reported LPN Staffing Hours per Resident per Day
1.92074
Reported RN Staffing Hours per Resident per Day
1.03989
Reported Licensed Staffing Hours per Resident per Day
2.96064
Reported Total Nurse Staffing Hours per Resident per Day
5.80052
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22234
Expected CNA Staffing Hours per Resident per Day
2.25579
Expected LPN Staffing Hours per Resident per Day
0.76406
Expected RN Staffing Hours per Resident per Day
1.72047
Expected Total Nurse Staffing Hours per Resident per Day
4.74032
Adjusted CNA Staffing Hours per Resident per Day
3.08904
Adjusted LPN Staffing Hours per Resident per Day
2.08650
Adjusted RN Staffing Hours per Resident per Day
0.45163
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93244
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-04-17
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
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
2800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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