Creasy Springs Health Campus - Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155777
Provider Name
CREASY SPRINGS HEALTH CAMPUS
Provider Address
1750 S CREASY LN
LAFAYETTE, IN 47905
LAFAYETTE, IN 47905
Provider Phone Number
(765) 447-6600
Provider SSA County
780
Provider County Name
Tippecanoe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2010-05-11
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.80902
Reported LPN Staffing Hours per Resident per Day
1.17787
Reported RN Staffing Hours per Resident per Day
1.98525
Reported Licensed Staffing Hours per Resident per Day
3.16311
Reported Total Nurse Staffing Hours per Resident per Day
5.97214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15000
Expected CNA Staffing Hours per Resident per Day
2.53490
Expected LPN Staffing Hours per Resident per Day
0.61613
Expected RN Staffing Hours per Resident per Day
1.05647
Expected Total Nurse Staffing Hours per Resident per Day
4.20751
Adjusted CNA Staffing Hours per Resident per Day
2.71904
Adjusted LPN Staffing Hours per Resident per Day
1.58672
Adjusted RN Staffing Hours per Resident per Day
1.40408
Adjusted Total Nurse Staffing Hours per Resident per Day
5.72146
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
22
Cycle 3 Total Health Score
66
Total Weighted Health Survey Score
23.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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