Highland Nursing And Rehabilitation Center - Highland Nursing Home
General Information
UPDATEFederal Provider Number
155458
Provider Name
HIGHLAND NURSING AND REHABILITATION CENTER
Provider Address
9630 FIFTH ST
HIGHLAND, IN 46322
HIGHLAND, IN 46322
Provider Phone Number
2199246953
Provider SSA County
440
Provider County Name
Lake
Ownership Type
For profit - Corporation
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
1992-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.14310
Reported LPN Staffing Hours per Resident per Day
0.61207
Reported RN Staffing Hours per Resident per Day
0.89828
Reported Licensed Staffing Hours per Resident per Day
1.51034
Reported Total Nurse Staffing Hours per Resident per Day
3.65345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02931
Expected CNA Staffing Hours per Resident per Day
2.36951
Expected LPN Staffing Hours per Resident per Day
0.63781
Expected RN Staffing Hours per Resident per Day
1.16129
Expected Total Nurse Staffing Hours per Resident per Day
4.16861
Adjusted CNA Staffing Hours per Resident per Day
2.21925
Adjusted LPN Staffing Hours per Resident per Day
0.79651
Adjusted RN Staffing Hours per Resident per Day
0.57797
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53276
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-20
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
36
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-09-27
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
27
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
60
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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