Heritage Healthcare - West Lafayette Nursing Home

General Information

UPDATE
Federal Provider Number
155402
Provider Name
HERITAGE HEALTHCARE
Provider Address
3401 SOLDIERS HOME RD
WEST LAFAYETTE, IN 47906
Provider Phone Number
(765) 463-1541
Provider SSA County
780
Provider County Name
Tippecanoe
Ownership Type
For profit - Partnership
Number of Certified Beds
127
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAFAYETTE MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1989-08-18
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.02564
Reported LPN Staffing Hours per Resident per Day
1.15256
Reported RN Staffing Hours per Resident per Day
1.10256
Reported Licensed Staffing Hours per Resident per Day
2.25513
Reported Total Nurse Staffing Hours per Resident per Day
4.28076
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22821
Expected CNA Staffing Hours per Resident per Day
2.45919
Expected LPN Staffing Hours per Resident per Day
0.72181
Expected RN Staffing Hours per Resident per Day
1.28370
Expected Total Nurse Staffing Hours per Resident per Day
4.46470
Adjusted CNA Staffing Hours per Resident per Day
2.02112
Adjusted LPN Staffing Hours per Resident per Day
1.32531
Adjusted RN Staffing Hours per Resident per Day
0.64176
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86483
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
24
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-01-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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