SPRING LAKE SKILLED NURSING AND REHABILITATION Nursing Home


SPRING LAKE SKILLED NURSING AND REHABILITATION (CCN: 195344) is a For profit - Corporation facility located in SHREVEPORT, LA (71106). The facility has an overall rating of 2/5, health inspection rating of 3/5, and a staffing rating of 1/5. It offers 160 certified beds and maintains an average of 108. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 2.83652 total hours per resident per day. It has been certified since July 1, 1995 and the last listed health inspection was on August 9, 2023, The facility is located in Caddo county and provides senior and nursing home care.

SPRING LAKE SKILLED NURSING AND REHABILITATION Summary


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Provider Name: SPRING LAKE SKILLED NURSING AND REHABILITATION

Address: 8622 LINE AVENUE, SHREVEPORT, LA 71106

Phone: (318) 868-4126

County: Caddo (080)

Ownership Type: For profit - Corporation

Certified Beds: 160

Average Residents Per Day: 108. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: PMG OPCO-SPRINGLAKE LLC

First Approved Date: July 1, 1995

Affiliated Entity: PRIORITY MANAGEMENT (425)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 2 ()

Health Inspection Rating: 3 ()

QM Rating: 3 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 2 ()

Staffing Rating: 1 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.51221, LPN Staff Hours Per Day: 1.0604, RN Staff Hours Per Day: 0.2638, Licensed Staff Hours Per Day: 1.3243

Total Nurse Staff Hours Per Day, per resident: 2.83652

Weekend Nurse Staff Hours: 2.54523, Weekend RN Staff Hours: 0.2450

PT Staff Hours Per Day, per resident: 0.0666

Nurse Staff Turnover: 61.0, Nurse Turnover Note:

RN Turnover: 66.7, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1530, Case Mix LPN Hours Per Day: 0.8256, Case Mix RN Hours Per Day: 0.4427

Adjusted Nurse Aide Hours Per Day, per resident: 1.43085, Adjusted LPN Hours Per Day: 0.9478, Adjusted RN Hours Per Day: 0.2245

Total Adjusted Nurse Hours Per Day, per resident: 2.61316

Adjusted Weekend Nurse Hours Per Day, per resident: 2.34481

Health Survey Dates and Scores: Cycle 1: 2023-08-09 (Score: 36), Cycle 2: 2022-07-27 (Score: 28), Cycle 3: 2021-07-02 (Score: 72)

Total Weighted Health Score: 39.333

Reported Incidents: 0, Substantiated Complaints: 5

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 3250.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 8622 LINE AVENUE,SHREVEPORT,LA,71106 (32.4235, -93.738)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-08-09

Type: Health, Deficiency: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-04

Citation on 2023-06-21

Type: Health, Deficiency: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-19

Citation on 2023-08-09

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-04

Citation on 2023-08-09

Type: Health, Deficiency: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-04

Citation on 2023-08-09

Type: Health, Deficiency: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-04

Citation on 2022-04-05

Type: Health, Deficiency: Honor each resident's preferences, choices, values and beliefs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-13

Citation on 2022-04-05

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-13

Citation on 2022-07-27

Type: Health, Deficiency: Assess the resident when there is a significant change in condition

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-09-09

Citation on 2022-07-27

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-09-09

Citation on 2022-07-27

Type: Health, Deficiency: Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-09-09

Citation on 2022-07-27

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-09-09

Citation on 2022-02-22

Type: Health, Deficiency: Ensure staff are vaccinated for COVID-19

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-02-24

Citation on 2021-08-18

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-28

Citation on 2021-07-02

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Reasonably accommodate the needs and preferences of each resident.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Dispose of garbage and refuse properly.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10

Citation on 2021-07-02

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-08-10


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-08-15

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-12

Citation on 2023-08-15

Type: Fire Safety, Tag: 0363, Version: New

Description: Install corridor and hallway doors that block smoke.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-12

Citation on 2023-08-15

Type: Fire Safety, Tag: 0754, Version: New

Description: Provide properly sized and located linen or trash receptacles.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-09-12

Citation on 2022-08-05

Type: Fire Safety, Tag: 0222, Version: New

Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-09-09