| Lakeside Health & Rehabilitation | |
| 2125 Hilliard Road, Richmond, Virginia 23228 | |
| (804) 266-9666 | |
| Name | Lakeside Health & Rehabilitation |
|---|---|
| Location | 2125 Hilliard Road, Richmond, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 194 |
| Occupancy Rate | 97.58% |
| Medicare ID (CCN) | 495045 |
| Legal Business Name | Lakeside VA SNF Operations LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Hill Valley Healthcare (43 nursing homes) |
| Chain Average Overall Rating | 1.8 out of 5 |
| NPI Number | 1427769843 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lakeside VA SNF Operations LLC |
| Doing Business As | Lakeside Health & Rehabilitation |
| Address | 2125 Hilliard Rd, Richmond, VA 23228 |
| Phone Number | 703-379-7200 |
| NPI Number | 1982649372 |
| Match | Possible same name, address or phone number |
| Organization Name | Manor Care-stratford Hall of Richmond VA LLC |
| Doing Business As | Promedica Skilled Nursing and Rehabilitation (richmond) |
| Address | 2125 Hilliard Rd, Richmond, VA 23228 |
| Phone Number | 804-266-9666 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.01 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.39 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.9 | 0.86 |
| Nurse aide hours per resident per day | 1.71 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.7 | 3.42 |
| RN hours per resident per day on the weekend | 0.21 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 48.3% | 45.8% |
| Registered nurse turnover | 65% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 1, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by Aug 27, 2024 |
| Aug 1, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2024 |
| Aug 1, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2024 |
| Aug 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2024 |
| Aug 1, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2024 |
| Aug 1, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2024 |
| Feb 28, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| Feb 28, 2024 | Provide routine and 24-hour emergency dental care for each resident. F0790, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 1, 2024 |
| May 23, 2022 | Ensure staff are vaccinated for COVID-19 F0888, Infection Control, Standard inspection | Actual harm, isolated | Corrected by Jun 30, 2022 |
| May 23, 2022 | Meet the legal definition of a skilled nursing facility or nursing facility. F0540, Administration, Standard inspection | Potential for harm, widespread | Corrected by Aug 10, 2022 |
| May 23, 2022 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 10, 2022 |
| May 23, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Aug 10, 2022 |
| May 23, 2022 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 30, 2022 |
| May 23, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2022 |
| May 23, 2022 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 10, 2022 |
| May 23, 2022 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2022 |
| May 23, 2022 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 30, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.62 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.55 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.11 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 16.57 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.35 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.88 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.84 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.04 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.36 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.82 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.98 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.91 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.57 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.73 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 24.5 | 15.38 |
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