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Detailed information-LAKE PARK NURSING AND REHABILITATION CENTER

This is the detailed information about LAKE PARK NURSING AND REHABILITATION CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 345502
Provider Name: LAKE PARK NURSING AND REHABILITATION CENTER
Provider State: NC
Provider Zip Code: 28079
Overall Rating: 2
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 47
Provider Phone Number: 7048823420
Provider City: INDIAN TRAIL
Provider SSA County Code: 890
Provider County Name: Union
Provider Address: 3315 FAITH CHURCH ROAD
Number of Certified Beds: 120
Number of Residents in Certified Beds: 75.8
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: EVEREST LONG TERM CARE, LLC
Date First Approved to Provide Medicare and Medicaid services: 2000-06-07
Continuing Care Retirement Community: N
Special Focus Facility: Y
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 1
Health Inspection Rating Footnote:
QM Rating: 2
QM Rating Footnote:
Staffing Rating: 4
Staffing Rating Footnote:
RN Staffing Rating: 4
RN Staffing Rating Footnote:
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.63726
Reported LPN Staffing Hours per Resident per Day: 0.62054
Reported RN Staffing Hours per Resident per Day: 0.62994
Reported Licensed Staffing Hours per Resident per Day: 1.25047
Reported Total Nurse Staffing Hours per Resident per Day: 3.88774
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.15149
Expected CNA Staffing Hours per Resident per Day: 2.10366
Expected LPN Staffing Hours per Resident per Day: 0.75550
Expected RN Staffing Hours per Resident per Day: 0.39051
Expected Total Nurse Staffing Hours per Resident per Day: 3.24967

Adjusted CNA Staffing Hours per Resident per Day: 2.61918
Adjusted LPN Staffing Hours per Resident per Day: 0.62330
Adjusted RN Staffing Hours per Resident per Day: 0.61366
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.86243
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 09/28/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 6
Rating Cycle 1 Standard Survey Health Date: 2017-09-28
Rating Cycle 1 Total Number of Health Deficiencies: 28
Rating Cycle 1 Number of Standard Health Deficiencies: 6
Rating Cycle 1 Number of Complaint Health Deficiencies: 28
Rating Cycle 1 Health Deficiency Score: 180
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 180

Rating Cycle 2 Standard Health Survey Date: 2017-03-10
Rating Cycle 2 Total Number of Health Deficiencies: 32
Rating Cycle 2 Number of Standard Health Deficiencies: 10
Rating Cycle 2 Number of Complaint Health Deficiencies: 29
Rating Cycle 2 Health Deficiency Score: 845
Rating Cycle 2 Number of Health Revisits: 2
Rating Cycle 2 Health Revisit Score: 423
Rating Cycle 2 Total Health Score: 1268
Total Weighted Health Survey Score: 615.200
Number of Facility Reported Incidents: 0
Number of Fines: 4
Total Amount of Fines in Dollars: 439881
Number of Payment Denials: 2
Total Number of Penalties: 6
Processing Date: 2018-04-01