Indiana Nursing Homes >> Fort Wayne Nursing Homes >> University Park Health And Rehabilitation Center

University Park Health And Rehabilitation Center - Fort Wayne Nursing Home

General Information

UPDATE
Federal Provider Number
155567
Provider Name
UNIVERSITY PARK HEALTH AND REHABILITATION CENTER
Provider Address
1400 MEDICAL PARK DR
FORT WAYNE, IN 46825
Provider Phone Number
2604841558
Provider SSA County
10
Provider County Name
Allen
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14821
Reported LPN Staffing Hours per Resident per Day
1.03036
Reported RN Staffing Hours per Resident per Day
0.92411
Reported Licensed Staffing Hours per Resident per Day
1.95446
Reported Total Nurse Staffing Hours per Resident per Day
4.10268
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.63629
Expected LPN Staffing Hours per Resident per Day
0.72006
Expected RN Staffing Hours per Resident per Day
1.30601
Expected Total Nurse Staffing Hours per Resident per Day
4.66237
Adjusted CNA Staffing Hours per Resident per Day
1.99942
Adjusted LPN Staffing Hours per Resident per Day
1.18768
Adjusted RN Staffing Hours per Resident per Day
0.52870
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54701
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-02-18
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
27
Number of Fines
1
Total Amount of Fines in Dollars
18720
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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