Lake Moultrie Nursing Home
Lake Moultrie Nursing Home Information
| Facility Name | Lake Moultrie Nursing Home |
| Location | 1038 Mcgill Lane, Saint Stephen, SC 29479 |
| County (SSA Code) | Berkeley (70) |
| Phone Number | 843-567-2307 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 88 |
| Average Number of Residents | 77.5 |
| 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 | CLARENDON MEMORIAL HOSPITAL |
| Ownership Type | Government - Hospital district |
| Date First Approved | 1995-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.58945 |
| Reported LPN Staffing Hours per Resident per Day | 0.83502 |
| Reported RN Staffing - Hours per Resident per Day | 0.6223 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.45733 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.04677 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01605 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.0371 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.60905 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.25257 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.89871 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.45089 |
| Total Weighted Health Survey Score for three cycles | 27.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-19 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-31 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-25 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |