Byron Health Center - Fort Wayne Nursing Home
General Information
UPDATEFederal Provider Number
155364
Provider Name
BYRON HEALTH CENTER
Provider Address
12101 LIMA RD
FORT WAYNE, IN 46818
FORT WAYNE, IN 46818
Provider Phone Number
(260) 637-3166
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
191
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RECOVERY HEALTH SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1990-08-02
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.30650
Reported LPN Staffing Hours per Resident per Day
1.03200
Reported RN Staffing Hours per Resident per Day
0.63350
Reported Licensed Staffing Hours per Resident per Day
1.66550
Reported Total Nurse Staffing Hours per Resident per Day
3.97200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00800
Expected CNA Staffing Hours per Resident per Day
2.23548
Expected LPN Staffing Hours per Resident per Day
0.61272
Expected RN Staffing Hours per Resident per Day
0.89299
Expected Total Nurse Staffing Hours per Resident per Day
3.74119
Adjusted CNA Staffing Hours per Resident per Day
2.53165
Adjusted LPN Staffing Hours per Resident per Day
1.39797
Adjusted RN Staffing Hours per Resident per Day
0.53007
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27958
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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