Shady Lake Nursing Home
Shady Lake Nursing Home Information
| Facility Name | Shady Lake Nursing Home |
| Location | 5976 Highway 65 North, Lake Providence, LA 71254 |
| County (SSA Code) | East Carroll (170) |
| Phone Number | 318-559-2248 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 108 |
| Average Number of Residents | 53.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | SHADY LAKE NURSING HOME LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2003-06-10 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.33837 |
| Reported LPN Staffing Hours per Resident per Day | 1.05402 |
| Reported RN Staffing - Hours per Resident per Day | 0.19308 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.2471 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.58548 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01607 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.95437 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7174 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34377 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.01554 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.79075 |
| Total Weighted Health Survey Score for three cycles | 47.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-22 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 91 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-16 |
| Rating cycle 2 - Health Deficiency Score | 91 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-17 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 6500 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |