Nursing Home

CLYDE E LASSEN STATE VETERANS NURSING HOME

Overall Rating

Address

4650 State Rd 16

Saint Augustine, FL 32092

Contact

9049402193

Certification Date

2011-03-04

Details

CMS Certification Number

106088

Ownership Type

Government - State

Number of Certified Beds

120

Average Number of Residents per Day

113.2

Provider Type

Medicare and Medicaid

Legal Business Name

FLORIDA DEPARTMENT OF VETERANS AFFAIRS

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

5

Quality Measure Rating

2

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.54502

Reported LPN Staffing Hours per Resident per Day

1.39060

Reported RN Staffing Hours per Resident per Day

0.86043

Reported Total Nurse Staffing Hours per Resident per Day

5.79605

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

4.99151

Registered Nurse Hours per Resident per Day on the Weekend

0.46792

Reported Physical Therapist Staffing Hours per Resident Per Day

0.03889

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

10.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-09-08

Total Number of Health Deficiencies

0

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

0

Health Deficiency Score

0

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

0

Rating Cycle 2

Standard Health Survey Date

2021-11-04

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

20

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

20

Rating Cycle 3

Standard Health Survey Date

2019-12-05

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

20

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

20

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

2275.00

Number of Payment Denials

0

Total Number of Penalties

1