Lakeside Pavilion
Lakeside Pavilion Information
| Facility Name | Lakeside Pavilion |
| Location | 2900 12th Street N, Naples, FL 34103 |
| County (SSA Code) | Collier (100) |
| Phone Number | 239-261-2554 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 120 |
| Average Number of Residents | 103.2 |
| 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 | 2900 TWELFTH STREET NORTH LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1983-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.87733 |
| Reported LPN Staffing Hours per Resident per Day | 0.44217 |
| Reported RN Staffing - Hours per Resident per Day | 0.86797 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.31013 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.18746 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04963 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.84652 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.66464 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30437 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.81552 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.74172 |
| Total Weighted Health Survey Score for three cycles | 113.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-19 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 214 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-08-01 |
| Rating cycle 2 - Health Deficiency Score | 214 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-12-13 |
| Rating cycle 3 - Health Deficiency Score | 56 |
| Rating cycle 3 - Total Health Inspection Score | 56 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 13 |
| Number of Substantiated Complaints | 13 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 77445 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |