Palm Terrace Of Lakeland - Lakeland Nursing Home
General Information
UPDATEFederal Provider Number
105354
Provider Name
PALM TERRACE OF LAKELAND
Provider Address
1919 LAKELAND HILLS BLVD
LAKELAND, FL 33805
LAKELAND, FL 33805
Provider Phone Number
(863) 688-5612
Provider SSA County
520
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
185
Number of Residents in Certified Beds
159
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SA LAKELAND LLC
Date First Approved to Provide Medicare and Medicaid services
1979-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88774
Reported LPN Staffing Hours per Resident per Day
0.95346
Reported RN Staffing Hours per Resident per Day
1.09151
Reported Licensed Staffing Hours per Resident per Day
2.04497
Reported Total Nurse Staffing Hours per Resident per Day
4.93271
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10094
Expected CNA Staffing Hours per Resident per Day
2.49296
Expected LPN Staffing Hours per Resident per Day
0.65801
Expected RN Staffing Hours per Resident per Day
1.09147
Expected Total Nurse Staffing Hours per Resident per Day
4.24244
Adjusted CNA Staffing Hours per Resident per Day
2.84227
Adjusted LPN Staffing Hours per Resident per Day
1.20267
Adjusted RN Staffing Hours per Resident per Day
0.74723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68675
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
8
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-30
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
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
2730
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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