Sgmc Lakeland Villa - Lakeland Nursing Home
General Information
UPDATEFederal Provider Number
115707
Provider Name
SGMC LAKELAND VILLA
Provider Address
120 W. THIGPEN AVE.
LAKELAND, GA 31635
LAKELAND, GA 31635
Provider Phone Number
(229) 482-8425
Provider SSA County
652
Provider County Name
Lanier
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
62
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Date First Approved to Provide Medicare and Medicaid services
2005-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.86102
Reported LPN Staffing Hours per Resident per Day
1.00593
Reported RN Staffing Hours per Resident per Day
0.68051
Reported Licensed Staffing Hours per Resident per Day
1.68644
Reported Total Nurse Staffing Hours per Resident per Day
4.54746
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10508
Expected CNA Staffing Hours per Resident per Day
2.62375
Expected LPN Staffing Hours per Resident per Day
0.69460
Expected RN Staffing Hours per Resident per Day
0.92494
Expected Total Nurse Staffing Hours per Resident per Day
4.24330
Adjusted CNA Staffing Hours per Resident per Day
2.67559
Adjusted LPN Staffing Hours per Resident per Day
1.20202
Adjusted RN Staffing Hours per Resident per Day
0.54974
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31984
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
48.66700
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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