Silver Lake Center - Dover Nursing Home
General Information
UPDATEFederal Provider Number
85027
Provider Name
SILVER LAKE CENTER
Provider Address
1080 SILVER LAKE BLVD
DOVER, DE 19904
DOVER, DE 19904
Provider Phone Number
(302) 734-5990
Provider SSA County
0
Provider County Name
Kent
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1080 SILVER LAKE BOULEVARD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1984-05-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.17863
Reported LPN Staffing Hours per Resident per Day
0.63077
Reported RN Staffing Hours per Resident per Day
0.98248
Reported Licensed Staffing Hours per Resident per Day
1.61325
Reported Total Nurse Staffing Hours per Resident per Day
3.79188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07009
Expected CNA Staffing Hours per Resident per Day
2.44400
Expected LPN Staffing Hours per Resident per Day
0.63468
Expected RN Staffing Hours per Resident per Day
1.01737
Expected Total Nurse Staffing Hours per Resident per Day
4.09605
Adjusted CNA Staffing Hours per Resident per Day
2.18728
Adjusted LPN Staffing Hours per Resident per Day
0.82489
Adjusted RN Staffing Hours per Resident per Day
0.72157
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73157
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
34
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
65.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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