Florida Presbyterian Homes Inc
909 Lakeside Ave, Lakeland, FL 33803


Florida Presbyterian Homes Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105949. The address is 909 Lakeside Ave, Lakeland, FL 33803. The zip code is 33803. The phone number is 8636885521.


Florida Presbyterian Homes Inc · 909 Lakeside Ave, Lakeland, FL 33803

Federal Provider Number 105949
Provider Name FLORIDA PRESBYTERIAN HOMES INC
Address 909 LAKESIDE AVE
LAKELAND, FL 33803
Phone Number 8636885521
SSA County Code 520
County Name Polk
Ownership Type Non profit - Corporation
Certified Beds 68
Certified Beds Residents 35
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FLORIDA PRESBYTERIAN HOMES, INC.
Date First Approved to Provide Medicare Medicaid Services 04/03/1997
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.60429
Reported LPN Staffing Hours per Resident per Day 0.67714
Reported RN Staffing Hours per Resident per Day 0.98714
Reported Licensed Staffing Hours per Resident per Day 1.66429
Reported Total Nurse Staffing Hours per Resident per Day 5.26857
Reported Physical Therapist Staffing Hours per Resident Per Day 0.19
Expected CNA Staffing Hours per Resident per Day 2.52198
Expected LPN Staffing Hours per Resident per Day 0.58635
Expected RN Staffing Hours per Resident per Day 0.89244
Expected Total Nurse Staffing Hours per Resident per Day 4.00077
Adjusted CNA Staffing Hours per Resident per Day 3.50671
Adjusted LPN Staffing Hours per Resident per Day 0.95851
Adjusted RN Staffing Hours per Resident per Day 0.82649
Adjusted Total Nurse Staffing Hours per Resident per Day 5.30825
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 02/24/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 11/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 07/24/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 33.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Florida Presbyterian Homes Inc

Owner Name Role Association Date
BOURQUIEN, ROBERT (Individual) DIRECTOR since 01/01/2014
BRYANT, LINDA (Individual) MANAGING EMPLOYEE since 02/21/1983
CLOYD, WILLIAM (Individual) DIRECTOR since 01/01/2011
DENLINGER, JUDY (Individual) DIRECTOR since 01/01/2010
FEE, JEFF (Individual) DIRECTOR since 01/01/2009
FEKETE, PATRICIA (Individual) DIRECTOR since 01/10/2008
FEKETE, PATRICIA (Individual) MANAGING EMPLOYEE since 01/10/2008
FREY, WALTER (Individual) DIRECTOR since 01/01/2012
GRAY, JOHN (Individual) DIRECTOR since 01/01/2008
HAWK, FRANKLIN (Individual) DIRECTOR since 01/01/2012
HEHN, JOHN (Individual) DIRECTOR since 10/22/2003
HEHN, JOHN (Individual) MANAGING EMPLOYEE since 10/22/2003
LAMM, ROSEMARIE (Individual) DIRECTOR since 01/01/2013
LANGSTON, SCOTT (Individual) DIRECTOR since 01/01/2006
NICHOLAS, ELENA (Individual) DIRECTOR since 01/01/2012
PETTIT, HARRY (Individual) DIRECTOR since 01/01/2006
RIVERA, MARIA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/18/1992
RIVERA, MARIA (Individual) DIRECTOR since 12/18/1992
SETTLE, ELLEN (Individual) DIRECTOR since 01/01/2014
SPAKE, MIKE (Individual) DIRECTOR since 01/01/2012
TATE, ROBERT (Individual) DIRECTOR since 01/01/2011
THRELKEL, ELEANOR (Individual) DIRECTOR since 01/01/2013

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