Lakeland Rehabilitation And Healthcare Center - Milford Nursing Home
General Information
UPDATEFederal Provider Number
155495
Provider Name
LAKELAND REHABILITATION AND HEALTHCARE CENTER
Provider Address
505 W 4TH ST
MILFORD, IN 46542
MILFORD, IN 46542
Provider Phone Number
(574) 658-9455
Provider SSA County
420
Provider County Name
Kosciusko
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1993-07-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.66000
Reported LPN Staffing Hours per Resident per Day
0.74300
Reported RN Staffing Hours per Resident per Day
0.73400
Reported Licensed Staffing Hours per Resident per Day
1.47700
Reported Total Nurse Staffing Hours per Resident per Day
3.13700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02300
Expected CNA Staffing Hours per Resident per Day
2.52450
Expected LPN Staffing Hours per Resident per Day
0.70334
Expected RN Staffing Hours per Resident per Day
1.16192
Expected Total Nurse Staffing Hours per Resident per Day
4.38975
Adjusted CNA Staffing Hours per Resident per Day
1.61345
Adjusted LPN Staffing Hours per Resident per Day
0.87681
Adjusted RN Staffing Hours per Resident per Day
0.47202
Adjusted Total Nurse Staffing Hours per Resident per Day
2.88056
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-01-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
102
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2012-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
93.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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