Spring Lake Rehabilitation Center - Winter Haven Nursing Home
General Information
UPDATEFederal Provider Number
105730
Provider Name
SPRING LAKE REHABILITATION CENTER
Provider Address
1540 6TH ST NW
WINTER HAVEN, FL 33881
WINTER HAVEN, FL 33881
Provider Phone Number
(863) 294-3055
Provider SSA County
520
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING LAKE NC, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-17
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
4
QM Rating Footnote
Staffing Rating
5
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
3.06356
Reported LPN Staffing Hours per Resident per Day
1.16314
Reported RN Staffing Hours per Resident per Day
1.34915
Reported Licensed Staffing Hours per Resident per Day
2.51229
Reported Total Nurse Staffing Hours per Resident per Day
5.57585
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27034
Expected CNA Staffing Hours per Resident per Day
2.41624
Expected LPN Staffing Hours per Resident per Day
0.72939
Expected RN Staffing Hours per Resident per Day
1.39175
Expected Total Nurse Staffing Hours per Resident per Day
4.53738
Adjusted CNA Staffing Hours per Resident per Day
3.11105
Adjusted LPN Staffing Hours per Resident per Day
1.32357
Adjusted RN Staffing Hours per Resident per Day
0.72433
Adjusted Total Nurse Staffing Hours per Resident per Day
4.95345
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
341
Cycle 2 Standard Health Survey Date
2014-08-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
341
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2014-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
133.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
117788
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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