Autumn Ridge Rehabilitation Centre - Wabash Nursing Home

General Information

UPDATE
Federal Provider Number
155162
Provider Name
AUTUMN RIDGE REHABILITATION CENTRE
Provider Address
600 WASHINGTON AVE
WABASH, IN 46992
Provider Phone Number
(260) 563-8402
Provider SSA County
840
Provider County Name
Wabash
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
75
Number of Residents in Certified Beds
62
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
1974-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51371
Reported LPN Staffing Hours per Resident per Day
0.80161
Reported RN Staffing Hours per Resident per Day
1.40403
Reported Licensed Staffing Hours per Resident per Day
2.20565
Reported Total Nurse Staffing Hours per Resident per Day
4.71935
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08952
Expected CNA Staffing Hours per Resident per Day
2.77565
Expected LPN Staffing Hours per Resident per Day
0.78862
Expected RN Staffing Hours per Resident per Day
1.37198
Expected Total Nurse Staffing Hours per Resident per Day
4.93625
Adjusted CNA Staffing Hours per Resident per Day
2.22214
Adjusted LPN Staffing Hours per Resident per Day
0.84367
Adjusted RN Staffing Hours per Resident per Day
0.76465
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85378
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-26
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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