Vi At Lakeside Village - Lantana Nursing Home
General Information
UPDATEFederal Provider Number
105968
Provider Name
VI AT LAKESIDE VILLAGE
Provider Address
2792 DONNELLY DRIVE
LANTANA, FL 33462
LANTANA, FL 33462
Provider Phone Number
(561) 963-2100
Provider SSA County
490
Provider County Name
Palm Beach
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1997-09-23
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.64825
Reported LPN Staffing Hours per Resident per Day
1.07544
Reported RN Staffing Hours per Resident per Day
0.69298
Reported Licensed Staffing Hours per Resident per Day
1.76842
Reported Total Nurse Staffing Hours per Resident per Day
4.41667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10614
Expected CNA Staffing Hours per Resident per Day
2.56442
Expected LPN Staffing Hours per Resident per Day
0.64015
Expected RN Staffing Hours per Resident per Day
1.16096
Expected Total Nurse Staffing Hours per Resident per Day
4.36553
Adjusted CNA Staffing Hours per Resident per Day
2.53391
Adjusted LPN Staffing Hours per Resident per Day
1.39438
Adjusted RN Staffing Hours per Resident per Day
0.44600
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07812
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
19.33300
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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