Heritage Pointe - Warren Nursing Home

General Information

UPDATE
Federal Provider Number
155705
Provider Name
HERITAGE POINTE
Provider Address
801 N HUNTINGTON AVE
WARREN, IN 46792
Provider Phone Number
2603752201
Provider SSA County
340
Provider County Name
Huntington
Ownership Type
Non profit - Corporation
Number of Certified Beds
186
Number of Residents in Certified Beds
148
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNITED METHODIST MEMORIAL HOME
Date First Approved to Provide Medicare and Medicaid services
2002-06-18
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84764
Reported LPN Staffing Hours per Resident per Day
1.35507
Reported RN Staffing Hours per Resident per Day
0.59054
Reported Licensed Staffing Hours per Resident per Day
1.94561
Reported Total Nurse Staffing Hours per Resident per Day
4.79325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06892
Expected CNA Staffing Hours per Resident per Day
2.66233
Expected LPN Staffing Hours per Resident per Day
0.60717
Expected RN Staffing Hours per Resident per Day
0.93899
Expected Total Nurse Staffing Hours per Resident per Day
4.20849
Adjusted CNA Staffing Hours per Resident per Day
2.62449
Adjusted LPN Staffing Hours per Resident per Day
1.85237
Adjusted RN Staffing Hours per Resident per Day
0.46992
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59098
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-05
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
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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