Westminster At Lake Ridge - Lake Ridge Nursing Home

General Information

UPDATE
Federal Provider Number
495280
Provider Name
WESTMINSTER AT LAKE RIDGE
Provider Address
12185 CLIPPER DRIVE
LAKE RIDGE, VA 22192
Provider Phone Number
7036439017
Provider SSA County
750
Provider County Name
Prince William
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-07-09
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.66339
Reported LPN Staffing Hours per Resident per Day
1.14286
Reported RN Staffing Hours per Resident per Day
0.72143
Reported Licensed Staffing Hours per Resident per Day
1.86429
Reported Total Nurse Staffing Hours per Resident per Day
4.52768
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24196
Expected CNA Staffing Hours per Resident per Day
2.47885
Expected LPN Staffing Hours per Resident per Day
0.63607
Expected RN Staffing Hours per Resident per Day
1.21819
Expected Total Nurse Staffing Hours per Resident per Day
4.33311
Adjusted CNA Staffing Hours per Resident per Day
2.63637
Adjusted LPN Staffing Hours per Resident per Day
1.49130
Adjusted RN Staffing Hours per Resident per Day
0.44250
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21190
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-10
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
40.66700
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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