South Campus Rehabilitation And Nursing Center - Leesburg Nursing Home
General Information
UPDATEFederal Provider Number
105375
Provider Name
SOUTH CAMPUS REHABILITATION AND NURSING CENTER
Provider Address
715 E DIXIE AVE
LEESBURG, FL 34748
LEESBURG, FL 34748
Provider Phone Number
(352) 728-3020
Provider SSA County
340
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIXIE HIGHWAY SNF LLC
Date First Approved to Provide Medicare and Medicaid services
1980-08-28
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.59105
Reported LPN Staffing Hours per Resident per Day
0.99947
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
1.49947
Reported Total Nurse Staffing Hours per Resident per Day
4.09052
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12053
Expected CNA Staffing Hours per Resident per Day
2.36194
Expected LPN Staffing Hours per Resident per Day
0.62314
Expected RN Staffing Hours per Resident per Day
0.96981
Expected Total Nurse Staffing Hours per Resident per Day
3.95489
Adjusted CNA Staffing Hours per Resident per Day
2.69172
Adjusted LPN Staffing Hours per Resident per Day
1.33126
Adjusted RN Staffing Hours per Resident per Day
0.38523
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16913
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
84
Cycle 2 Standard Health Survey Date
2013-09-26
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
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
31250
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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