Cumberland Pointe Health Campus - West Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155775
Provider Name
CUMBERLAND POINTE HEALTH CAMPUS
Provider Address
1051 CUMBERLAND AVE
WEST LAFAYETTE, IN 47906
WEST LAFAYETTE, IN 47906
Provider Phone Number
(765) 463-2571
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
TRILOGY HEALTHCARE OF TIPPECANOE, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-04-10
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.98115
Reported LPN Staffing Hours per Resident per Day
0.79098
Reported RN Staffing Hours per Resident per Day
1.12541
Reported Licensed Staffing Hours per Resident per Day
1.91639
Reported Total Nurse Staffing Hours per Resident per Day
3.89754
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.62785
Expected LPN Staffing Hours per Resident per Day
0.66147
Expected RN Staffing Hours per Resident per Day
1.03952
Expected Total Nurse Staffing Hours per Resident per Day
4.32883
Adjusted CNA Staffing Hours per Resident per Day
1.84986
Adjusted LPN Staffing Hours per Resident per Day
0.99251
Adjusted RN Staffing Hours per Resident per Day
0.80894
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62929
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-28
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
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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