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LADY LAKE SPECIALTY CARE CENTER

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LADY LAKE SPECIALTY CARE CENTER VS
Nursing Homes USA
General
City LADY LAKE   0% Nursing Homes USA have LADY LAKE
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 630 GRIFFIN AVE  
Zip Code 32159  
Phone 3527506619  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
145 
108.94
Total Number of Residents
137 
91.25
Percent of Occupied Beds
94 %
83.65 %
Health Survey Date 2/2/2012  
Fire Survey Date 2/2/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 12  
Staff Information
Number of Residents
137 
91.38
Number of RN Hours Per Resident Per Day
0.63 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.07 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.7 
1.59
Number of CNA Hours Per Resident Per Day
0.26 
5.49
Number Therapy Hours Per Resident Per Day
0.26 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/16/2011
date Of Correction: 09/16/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/16/2011
date Of Correction: 09/16/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 02/22/2010
date Of Correction: 03/18/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 01/20/2010
date Of Correction: 02/20/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/28/2012
date Of Correction: 03/28/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/28/2012
date Of Correction: 03/28/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/01/2011
date Of Correction: 08/01/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/20/2010
date Of Correction: 02/20/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Encode And Automate The Resident's Assessment Data.
survey Date: 08/14/2009
date Of Correction: 09/08/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/01/2011
date Of Correction: 08/01/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 08/16/2011
date Of Correction: 09/16/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/16/2011
date Of Correction: 09/16/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.5 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
0.7 %
32.95 %
Percent of long-stay high-risk residents with pressure ulcers
3.2 %
12.58 %
Percent of long-stay residents who lose too much weight
20.9 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection 16.3:1 % 
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
4.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
7.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.9 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
2.20 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
13.6-28 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
2 %
9.22 %
Percent of long-stay residents who lose too much weight
16.4 %
8.50 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.3 %
10.65 %
Percent of long-stay residents with a urinary tract infection
10.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.7 %
19.86 %
Percent of long-stay residents who were physically restrained
6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
5.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
6.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
99.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
0.9 %
17.34 %

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