Laurels Of Dekalb - Butler Nursing Home
General Information
UPDATEFederal Provider Number
155386
Provider Name
LAURELS OF DEKALB
Provider Address
520 W LIBERTY ST
BUTLER, IN 46721
BUTLER, IN 46721
Provider Phone Number
(260) 868-2164
Provider SSA County
160
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK HEALTH CARE INVESTORS INC
Date First Approved to Provide Medicare and Medicaid services
1991-09-20
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
2
QM Rating Footnote
Staffing Rating
3
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
2.86420
Reported LPN Staffing Hours per Resident per Day
0.84432
Reported RN Staffing Hours per Resident per Day
0.71648
Reported Licensed Staffing Hours per Resident per Day
1.56080
Reported Total Nurse Staffing Hours per Resident per Day
4.42500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17045
Expected CNA Staffing Hours per Resident per Day
2.57871
Expected LPN Staffing Hours per Resident per Day
0.66878
Expected RN Staffing Hours per Resident per Day
1.11129
Expected Total Nurse Staffing Hours per Resident per Day
4.35879
Adjusted CNA Staffing Hours per Resident per Day
2.72535
Adjusted LPN Staffing Hours per Resident per Day
1.04786
Adjusted RN Staffing Hours per Resident per Day
0.48174
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09213
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
2015-02-23
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
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-04-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
36
Cycle 3 Standard Health Survey Date
2013-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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