Pruitthealth - Lakehaven - Valdosta Nursing Home

General Information

UPDATE
Federal Provider Number
115373
Provider Name
PRUITTHEALTH - LAKEHAVEN
Provider Address
410 EAST NORTHSIDE DRIVE
VALDOSTA, GA 31602
Provider Phone Number
(229) 242-7368
Provider SSA County
700
Provider County Name
Lowndes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LOWNDES COUNTY HEALTH SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-15
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
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08395
Reported LPN Staffing Hours per Resident per Day
0.61111
Reported RN Staffing Hours per Resident per Day
0.99630
Reported Licensed Staffing Hours per Resident per Day
1.60741
Reported Total Nurse Staffing Hours per Resident per Day
3.69136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10494
Expected CNA Staffing Hours per Resident per Day
2.69195
Expected LPN Staffing Hours per Resident per Day
0.74441
Expected RN Staffing Hours per Resident per Day
1.18847
Expected Total Nurse Staffing Hours per Resident per Day
4.62483
Adjusted CNA Staffing Hours per Resident per Day
1.89951
Adjusted LPN Staffing Hours per Resident per Day
0.68137
Adjusted RN Staffing Hours per Resident per Day
0.62638
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21731
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-11-29
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2011-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
19.33300
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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