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Doctors Lake Of Orange Park

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 12/01/2011

Date of last standard health inspection: 12/01/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in FL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in FL: 0 - 15

Inspection, 00/01/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/01/2012 00/01/2001 2 Few
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 00/01/2012 00/01/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/01/2012 00/01/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 00/01/2012 00/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2012 00/01/2001 2 Few

Inspection, 02/09/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2011 01/09/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2011 02/09/2012 2 Few
Keep all essential equipment working safely. 02/09/2011 02/09/2012 2 Few
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/09/2011 02/09/2012 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/09/2011 02/09/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/09/2011 02/09/2012 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/09/2011 02/09/2012 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2011 02/09/2012 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/09/2011 02/09/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2011 02/09/2012 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/09/2011 02/09/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/09/2011 02/09/2012 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2011 02/09/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2011 02/09/2012 2 Few
Make sure that doctors visit residents regularly, as required. 02/09/2011 02/09/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/09/2011 02/09/2012 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/09/2011 02/09/2012 2 Some
Tell the resident or the resident 02/09/2011 02/09/2012 2 Few

Inspection, 00/07/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 00/07/2006 00/01/2007 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/07/2006 00/01/2007 2 Few

Inspection, 00/04/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/04/2001 02/04/2001 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in FL Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 106 110
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 15 minutes 1 hour 36 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 17 minutes 42 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 37 minutes 54 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 26 minutes 3 hours

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/30/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/30/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in FL: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in FL: 0 - 0

Inspection, 03/00/2011

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 03/00/2011 00/01/2001 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least two compartments on every floor to protect residents from smoke. 03/00/2011 00/01/2001 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 03/00/2011 00/01/2001 2 Few

Inspection, 02/07/2011

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/07/2011 02/09/2012 2 Few
 

833 Kingsley Ave
Orange Park, FL 32073

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