Eastgate Manor Nursing & Rehabilitation Center - Washington Nursing Home

General Information

UPDATE
Federal Provider Number
155341
Provider Name
EASTGATE MANOR NURSING & REHABILITATION CENTER
Provider Address
2119 E NATIONAL HWY
WASHINGTON, IN 47501
Provider Phone Number
(812) 254-3301
Provider SSA County
130
Provider County Name
Daviess
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1989-10-13
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.75091
Reported LPN Staffing Hours per Resident per Day
0.69364
Reported RN Staffing Hours per Resident per Day
0.97636
Reported Licensed Staffing Hours per Resident per Day
1.67000
Reported Total Nurse Staffing Hours per Resident per Day
3.42091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02636
Expected CNA Staffing Hours per Resident per Day
2.52623
Expected LPN Staffing Hours per Resident per Day
0.66962
Expected RN Staffing Hours per Resident per Day
1.22643
Expected Total Nurse Staffing Hours per Resident per Day
4.42229
Adjusted CNA Staffing Hours per Resident per Day
1.70064
Adjusted LPN Staffing Hours per Resident per Day
0.85977
Adjusted RN Staffing Hours per Resident per Day
0.59484
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11815
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
11764
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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