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LAKELAND VILLA CONV CENTER - LAKELAND, GA

 



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Address
852 W. THIGPEN AVE.
LAKELAND, GA, 31635
Phone (make sure to verify first before calling): (229) 482-8421

Number of Certified Beds: 62
Total Number of Residents: 59
Percent of Occupied Beds: 95%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Other
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Administrative Staff - Part Time: 0.57
Certified Nurse Aides - Full Time: 23.50
Certified Nurse Aides - Part Time: 0.79
Food Service Personnel - Full Time: 10.99
Food Service Personnel - Part Time: 0.37
Housekeeping Personnel - Full Time: 3.66
Licensed Practical/ Vocational Nurses - Full Time: 8.61
Licensed Practical/ Vocational Nurses - Part Time: 2.19
Medical Directors - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 1.07
Persons Not Included In Any Other Categories - Full Time: 1.11
Physical Therapists - Under Contract: 0.01
Registered Nurses - Full Time: 1.03
Rn Director Of Nursing - Full Time: 1.21
Activities Professionals - Full Time: 1.07
Dietitians - Part Time: 0.19
Occupational Therapists - Under Contract: 0.04
Pharmacists - Under Contract: 0.03
Other Physicians - Under Contract: 0.04
Registered Nurses - Part Time: 0.23
Social Workers - Part Time: 0.59
Housekeeping Personnel - Part Time: 0.74

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Vocational Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.260
State:

0.470
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

1.110
Georgia:

1.015
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.370
Georgia:

1.482
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.010
State:

0.071
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.010
Georgia:

0.074

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

5.7%
Georgia:

15.5%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

2.6%
Georgia:

7.3%
Percent of long-stay residents who lose too much weight
Here:

21.2%
State:

8.1%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

3.5%
Georgia:

2.7%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

5.8%
State:

7.6%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

98.1%
Georgia:

96.0%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

96.4%
State:

95.5%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

25.5%
State:

28.2%

Complaint Deficiency

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Restrictions on the use of highly flammable materials: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Many (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

Quickly tell the resident's doctor the results of lab tests: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

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