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Lakeshore Villas Health Care Center

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 179
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: 05/04/2012

Date of last standard health inspection: 05/04/2012
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, 01/04/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/04/2011 01/08/2011 4 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 01/04/2011 01/08/2011 Few neglect and misappropriation of personal property.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment 01/04/2011 01/08/2011 or formulate advance directives. refuse to take part in an experiment
Give residents a notice of rights 01/04/2011 01/08/2011 services and charges. rules

Inspection, 02/01/2010

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/01/2010 01/08/2011 2 Few

Inspection, 01/08/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/08/2010 01/08/2011 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/08/2010 01/08/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/08/2010 01/08/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2010 01/08/2011 2 Few

Inspection, 01/03/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/03/2010 00/08/2011 4 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 01/03/2010 00/08/2011 Some and develop corrective plans of action.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 01/03/2010 00/08/2011 Some neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 01/03/2010 00/08/2011 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/03/2010 00/08/2011 investigation identification
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2010 00/08/2011 4 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 01/03/2010 00/08/2011 2 Few
Tell the resident or the resident 01/03/2010 00/08/2011 2 Few

Inspection, 03/00/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 03/00/2007 03/00/2008 Few controls and keeps infection from spreading.
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. 03/00/2007 03/00/2008 2 Few

Inspection, 00/04/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/04/2005 00/03/2006 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/04/2005 00/03/2006 2 Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/04/2005 00/03/2006 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/04/2005 00/03/2006 3 Few
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. 00/04/2005 00/03/2006 3 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/04/2005 00/03/2006 2 Few
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 00/04/2005 00/03/2006 2 Few
Store, cook, and serve food in a safe and clean way. 00/04/2005 00/03/2006 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/04/2005 00/03/2006 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/04/2005 00/03/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/04/2005 00/03/2006 3 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 00/04/2005 00/03/2006 2 Few

Inspection, 02/05/2004

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. 02/05/2004 01/05/2005 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2004 01/05/2005 2 Few
Have a program that investigates 02/05/2004 01/05/2005 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/05/2004 01/05/2005 2 Few
Ensure residents maintain acceptable nutritional status. 02/05/2004 01/05/2005 2 Few

Inspection, 01/02/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Dispose of garbage and refuse properly. 01/02/2004 01/02/2005 2 Few
Keep all essential equipment working safely. 01/02/2004 01/02/2005 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/02/2004 01/02/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/02/2004 01/02/2005 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2004 01/02/2005 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2004 01/02/2005 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2004 01/02/2005 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/02/2004 01/02/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/02/2004 01/02/2005 2 Few

Inspection, 00/01/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/01/2004 00/07/2004 Few complete and organized clinical records on each re
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 00/01/2004 00/07/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/01/2004 00/07/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2004 00/07/2004 2 Few

Inspection, 00/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal 00/07/2003 00/07/2004 and local laws and professional standards. State
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/07/2003 00/07/2004 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/07/2003 00/07/2004 2 Few

Inspection, 03/00/2001

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 03/00/2001 00/01/2003 and serve food in a safe and clean way. cook
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 03/00/2001 00/01/2003 1 Some

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 3 out of 5 stars
Total Number of Residents 86 106 171
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 15 minutes 1 hour 46 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 7 hours 17 minutes 43 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 37 minutes 1 hour 3 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 26 minutes 2 hours 26 minutes

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: 05/02/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/02/2012
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, 02/03/2010

Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2010 01/08/2011 2 Few

Inspection, 00/02/2005

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/02/2005 00/03/2006 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/02/2005 00/03/2006 2 Few

Inspection, 01/00/2004

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2004 01/02/2005 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/00/2004 01/02/2005 2 Few
 

16002 Lakeshore Villa Dr
Tampa, FL 33613

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