Resthaven Nursing & Rehab Center, LLC
1103 W Mcneese, Lake Charles, LA 70605


Resthaven Nursing & Rehab Center, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 195414. The address is 1103 W Mcneese, Lake Charles, LA 70605. The zip code is 70605. The phone number is 3374776371.


Resthaven Nursing & Rehab Center, LLC · 1103 W Mcneese, Lake Charles, LA 70605

Federal Provider Number 195414
Provider Name RESTHAVEN NURSING & REHAB CENTER, LLC
Address 1103 W MCNEESE
LAKE CHARLES, LA 70605
Phone Number 3374776371
SSA County Code 90
County Name Calcasieu
Ownership Type For profit - Partnership
Certified Beds 150
Certified Beds Residents 153
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name RESTHAVEN NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1997
Continuing Care Retirement Community false
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.38137
Reported LPN Staffing Hours per Resident per Day 0.83007
Reported RN Staffing Hours per Resident per Day 0.5598
Reported Licensed Staffing Hours per Resident per Day 1.38987
Reported Total Nurse Staffing Hours per Resident per Day 3.77124
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07647
Expected CNA Staffing Hours per Resident per Day 2.586
Expected LPN Staffing Hours per Resident per Day 0.72455
Expected RN Staffing Hours per Resident per Day 1.07654
Expected Total Nurse Staffing Hours per Resident per Day 4.38709
Adjusted CNA Staffing Hours per Resident per Day 2.25954
Adjusted LPN Staffing Hours per Resident per Day 0.95088
Adjusted RN Staffing Hours per Resident per Day 0.38854
Adjusted Total Nurse Staffing Hours per Resident per Day 3.46505
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 09/30/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 48
Cycle 2 Standard Health Survey Date 10/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 48
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 68
Cycle 3 Standard Health Survey Date 01/30/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 68
Total Weighted Health Survey Score 37.333
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Resthaven Nursing & Rehab Center, LLC

Owner Name Role Association Date
CENTRAL MANAGEMENT COMPANY, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2016
FREDA ZIMMERMAN TRUST (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
since 01/01/1987
KISATCHIE CORPORATION (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
67%
since 01/01/1987
PRICE, TEDDY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
since 01/01/1987
PRICE, TEDDY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
since 01/01/1987
PRICE, TEDDY (Individual) DIRECTOR since 06/01/1997
PRICE, TEDDY (Individual) OFFICER since 01/01/1987
PRICE, TEDDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/1987
TUGWELL, MICHAEL (Individual) MANAGING EMPLOYEE since 01/01/2015

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