Wedgewood Healthcare Center - Lakeland Nursing Home
General Information
UPDATEFederal Provider Number
106002
Provider Name
WEDGEWOOD HEALTHCARE CENTER
Provider Address
1010 CARPENTERS WAY
LAKELAND, FL 33809
LAKELAND, FL 33809
Provider Phone Number
(863) 815-0488
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
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1010 CARPENTERS WAY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1999-03-26
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
1
QM Rating Footnote
Staffing Rating
4
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
2.78505
Reported LPN Staffing Hours per Resident per Day
1.17336
Reported RN Staffing Hours per Resident per Day
0.63271
Reported Licensed Staffing Hours per Resident per Day
1.80607
Reported Total Nurse Staffing Hours per Resident per Day
4.59112
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20981
Expected CNA Staffing Hours per Resident per Day
2.43612
Expected LPN Staffing Hours per Resident per Day
0.66164
Expected RN Staffing Hours per Resident per Day
1.24801
Expected Total Nurse Staffing Hours per Resident per Day
4.34578
Adjusted CNA Staffing Hours per Resident per Day
2.80514
Adjusted LPN Staffing Hours per Resident per Day
1.47192
Adjusted RN Staffing Hours per Resident per Day
0.37881
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25846
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
365
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
365
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
224.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
Number of Fines
2
Total Amount of Fines in Dollars
121095
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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