Signature Healthcare Of Palm Beach - Lake Worth Nursing Home
General Information
UPDATEFederal Provider Number
105466
Provider Name
SIGNATURE HEALTHCARE OF PALM BEACH
Provider Address
4405 LAKEWOOD ROAD
LAKE WORTH, FL 33461
LAKE WORTH, FL 33461
Provider Phone Number
(561) 969-1400
Provider SSA County
490
Provider County Name
Palm Beach
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP LAKE WORTH LLC
Date First Approved to Provide Medicare and Medicaid services
1984-07-27
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.35935
Reported LPN Staffing Hours per Resident per Day
0.68411
Reported RN Staffing Hours per Resident per Day
0.77103
Reported Licensed Staffing Hours per Resident per Day
1.45514
Reported Total Nurse Staffing Hours per Resident per Day
3.81449
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18411
Expected CNA Staffing Hours per Resident per Day
2.69406
Expected LPN Staffing Hours per Resident per Day
0.67622
Expected RN Staffing Hours per Resident per Day
1.16049
Expected Total Nurse Staffing Hours per Resident per Day
4.53077
Adjusted CNA Staffing Hours per Resident per Day
2.14885
Adjusted LPN Staffing Hours per Resident per Day
0.83968
Adjusted RN Staffing Hours per Resident per Day
0.49644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39364
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-21
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-13
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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