Ohio Nursing Homes >> Lakeview Nursing Homes >> Heartland Of Indian Lake Rehab

Heartland Of Indian Lake Rehab - Lakeview Nursing Home

General Information

UPDATE
Federal Provider Number
365666
Provider Name
HEARTLAND OF INDIAN LAKE REHAB
Provider Address
14442 STATE ROUTE 33 WEST
LAKEVIEW, OH 43331
Provider Phone Number
(937) 843-4929
Provider SSA County
470
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-INDIAN LAKE OF LAKEVIEW OH LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-16
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.09138
Reported LPN Staffing Hours per Resident per Day
0.48276
Reported RN Staffing Hours per Resident per Day
1.15000
Reported Licensed Staffing Hours per Resident per Day
1.63276
Reported Total Nurse Staffing Hours per Resident per Day
3.72414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11034
Expected CNA Staffing Hours per Resident per Day
2.52109
Expected LPN Staffing Hours per Resident per Day
0.78466
Expected RN Staffing Hours per Resident per Day
1.34674
Expected Total Nurse Staffing Hours per Resident per Day
4.65249
Adjusted CNA Staffing Hours per Resident per Day
2.03548
Adjusted LPN Staffing Hours per Resident per Day
0.51065
Adjusted RN Staffing Hours per Resident per Day
0.63805
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22658
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-07-11
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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