Saint Anthony Rehab And Nursing Center - Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155604
Provider Name
SAINT ANTHONY REHAB AND NURSING CENTER
Provider Address
1205 N 14TH ST
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
Provider Phone Number
7654234861
Provider SSA County
780
Provider County Name
Tippecanoe
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1996-10-24
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.81294
Reported LPN Staffing Hours per Resident per Day
1.13118
Reported RN Staffing Hours per Resident per Day
1.12000
Reported Licensed Staffing Hours per Resident per Day
2.25118
Reported Total Nurse Staffing Hours per Resident per Day
5.06412
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17000
Expected CNA Staffing Hours per Resident per Day
2.51899
Expected LPN Staffing Hours per Resident per Day
0.65737
Expected RN Staffing Hours per Resident per Day
1.09272
Expected Total Nurse Staffing Hours per Resident per Day
4.26907
Adjusted CNA Staffing Hours per Resident per Day
2.74003
Adjusted LPN Staffing Hours per Resident per Day
1.42824
Adjusted RN Staffing Hours per Resident per Day
0.76585
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78159
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-20
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
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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