Lane House - Crawfordsville Nursing Home
General Information
UPDATEFederal Provider Number
155477
Provider Name
LANE HOUSE
Provider Address
1000 LANE AVE
CRAWFORDSVILLE, IN 47933
CRAWFORDSVILLE, IN 47933
Provider Phone Number
(765) 362-0007
Provider SSA County
530
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1992-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.08889
Reported LPN Staffing Hours per Resident per Day
0.65444
Reported RN Staffing Hours per Resident per Day
1.26111
Reported Licensed Staffing Hours per Resident per Day
1.91556
Reported Total Nurse Staffing Hours per Resident per Day
4.00444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24333
Expected CNA Staffing Hours per Resident per Day
2.39363
Expected LPN Staffing Hours per Resident per Day
0.69891
Expected RN Staffing Hours per Resident per Day
1.19543
Expected Total Nurse Staffing Hours per Resident per Day
4.28798
Adjusted CNA Staffing Hours per Resident per Day
2.14131
Adjusted LPN Staffing Hours per Resident per Day
0.77719
Adjusted RN Staffing Hours per Resident per Day
0.78825
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76436
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-17
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
8.66700
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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