Englewood Health & Rehabilitation Center - Fort Wayne Nursing Home

General Information

UPDATE
Federal Provider Number
155654
Provider Name
ENGLEWOOD HEALTH & REHABILITATION CENTER
Provider Address
2237 ENGLE RD
FORT WAYNE, IN 46809
Provider Phone Number
2607472353
Provider SSA County
10
Provider County Name
Allen
Ownership Type
Government - City/county
Number of Certified Beds
67
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1998-07-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18796
Reported LPN Staffing Hours per Resident per Day
0.92593
Reported RN Staffing Hours per Resident per Day
1.22407
Reported Licensed Staffing Hours per Resident per Day
2.15000
Reported Total Nurse Staffing Hours per Resident per Day
4.33796
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10556
Expected CNA Staffing Hours per Resident per Day
2.48442
Expected LPN Staffing Hours per Resident per Day
0.66386
Expected RN Staffing Hours per Resident per Day
1.16182
Expected Total Nurse Staffing Hours per Resident per Day
4.31010
Adjusted CNA Staffing Hours per Resident per Day
2.16091
Adjusted LPN Staffing Hours per Resident per Day
1.15766
Adjusted RN Staffing Hours per Resident per Day
0.78723
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05696
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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