Ashton Creek Health And Rehabilitation Center - Fort Wayne Nursing Home
General Information
UPDATEFederal Provider Number
155798
Provider Name
ASHTON CREEK HEALTH AND REHABILITATION CENTER
Provider Address
4111 PARK PLACE DRIVE
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
Provider Phone Number
(260) 373-2111
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
139
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2012-07-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.35248
Reported LPN Staffing Hours per Resident per Day
1.12178
Reported RN Staffing Hours per Resident per Day
0.88564
Reported Licensed Staffing Hours per Resident per Day
2.00743
Reported Total Nurse Staffing Hours per Resident per Day
4.35990
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12723
Expected CNA Staffing Hours per Resident per Day
2.43800
Expected LPN Staffing Hours per Resident per Day
0.70722
Expected RN Staffing Hours per Resident per Day
1.32213
Expected Total Nurse Staffing Hours per Resident per Day
4.46735
Adjusted CNA Staffing Hours per Resident per Day
2.36763
Adjusted LPN Staffing Hours per Resident per Day
1.31653
Adjusted RN Staffing Hours per Resident per Day
0.50052
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93395
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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