Lakewood Manor
1900 Lauderdale Drive, Richmond, VA 23238


Lakewood Manor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495403. The address is 1900 Lauderdale Drive, Richmond, VA 23238. The zip code is 23238. The phone number is 8047402900.


Lakewood Manor · 1900 Lauderdale Drive, Richmond, VA 23238

Federal Provider Number 495403
Provider Name LAKEWOOD MANOR
Address 1900 LAUDERDALE DRIVE
RICHMOND, VA 23238
Phone Number 8047402900
SSA County Code 370
County Name Goochland
Ownership Type Non profit - Church related
Certified Beds 96
Certified Beds Residents 71
Provider Type Medicare
Resides in Hospital false
Legal Business Name LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY
Date First Approved to Provide Medicare Medicaid Services 04/20/2010
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.72606
Reported LPN Staffing Hours per Resident per Day 1.46197
Reported RN Staffing Hours per Resident per Day 0.63451
Reported Licensed Staffing Hours per Resident per Day 2.09648
Reported Total Nurse Staffing Hours per Resident per Day 4.82254
Reported Physical Therapist Staffing Hours per Resident Per Day 0.21127
Expected CNA Staffing Hours per Resident per Day 2.55137
Expected LPN Staffing Hours per Resident per Day 0.54455
Expected RN Staffing Hours per Resident per Day 0.88707
Expected Total Nurse Staffing Hours per Resident per Day 3.98299
Adjusted CNA Staffing Hours per Resident per Day 2.6217
Adjusted LPN Staffing Hours per Resident per Day 2.22831
Adjusted RN Staffing Hours per Resident per Day 0.53446
Adjusted Total Nurse Staffing Hours per Resident per Day 4.88054
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 05/12/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Standard Health Survey Date 04/23/2015
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 05/22/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 18.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lakewood Manor

Owner Name Role Association Date
BROWNING, DAVID (Individual) OFFICER since 05/01/2016
BROWNING, HERBERT (Individual) DIRECTOR since 04/01/2009
CAVE, R (Individual) DIRECTOR since 05/01/2016
COOK, JONATHAN (Individual) OFFICER since 05/01/2016
FEAUTO, MICHAEL (Individual) OFFICER since 05/01/2016
HARRIS, CHARLES (Individual) DIRECTOR since 04/01/2009
HOLDEN, LEBRON (Individual) DIRECTOR since 05/01/2016
HOPSON, R CRAIG (Individual) DIRECTOR since 05/01/2016
KECK, MICHAEL (Individual) DIRECTOR since 04/01/2009
KELLEY, JOSEPH (Individual) OFFICER since 01/01/2016
KING, JOHN (Individual) DIRECTOR since 05/01/2016
MCINNIIS, JEFFREY (Individual) MANAGING EMPLOYEE since 04/01/2009
MUSICK, ROBERT (Individual) DIRECTOR since 04/01/2009
OWENS, ARNE (Individual) DIRECTOR since 05/01/2016
ROBINSON, JOHN (Individual) OFFICER since 05/01/2016
RUCKER, SUSAN (Individual) DIRECTOR since 05/01/2016
SMITH, MICHAEL (Individual) DIRECTOR since 05/01/2016
STEPHENSON, THOMAS (Individual) DIRECTOR since 04/01/2009
TEEFEY, JOSEPH (Individual) DIRECTOR since 05/01/2016
TRIMBLE, WILLIAM (Individual) DIRECTOR since 04/01/2009
TYSINGER, CHARLES (Individual) DIRECTOR since 04/01/2009
VIRGINIA BAPTIST HOMES INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2009
VIRGINIA BAPTIST HOMES INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2009
WAY, OLIVER (Individual) DIRECTOR since 04/01/2009
WOOD, FELICITY (Individual) MANAGING EMPLOYEE since 04/01/2009
YEAMAN, J (Individual) DIRECTOR since 05/01/2016

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