Essex Nursing And Rehabilitation Center - Lebanon Nursing Home

General Information

UPDATE
Federal Provider Number
155404
Provider Name
ESSEX NURSING AND REHABILITATION CENTER
Provider Address
301 W ESSEX ST
LEBANON, IN 46052
Provider Phone Number
7654821950
Provider SSA County
50
Provider County Name
Boone
Ownership Type
Non profit - Other
Number of Certified Beds
38
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.06897
Reported LPN Staffing Hours per Resident per Day
0.60690
Reported RN Staffing Hours per Resident per Day
1.16034
Reported Licensed Staffing Hours per Resident per Day
1.76724
Reported Total Nurse Staffing Hours per Resident per Day
3.83621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22931
Expected CNA Staffing Hours per Resident per Day
2.20193
Expected LPN Staffing Hours per Resident per Day
0.59917
Expected RN Staffing Hours per Resident per Day
0.97422
Expected Total Nurse Staffing Hours per Resident per Day
3.77532
Adjusted CNA Staffing Hours per Resident per Day
2.30554
Adjusted LPN Staffing Hours per Resident per Day
0.84071
Adjusted RN Staffing Hours per Resident per Day
0.88995
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09592
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
48
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
96.66700
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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