Indiana Nursing Homes >> Vincennes Nursing Homes >> Lodge Of The Wabash

Lodge Of The Wabash - Vincennes Nursing Home

General Information

UPDATE
Federal Provider Number
155632
Provider Name
LODGE OF THE WABASH
Provider Address
723 E RAMSEY RD
VINCENNES, IN 47591
Provider Phone Number
(812) 882-8787
Provider SSA County
410
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
70
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUSH MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1997-08-01
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
4
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
2.22625
Reported LPN Staffing Hours per Resident per Day
0.78250
Reported RN Staffing Hours per Resident per Day
0.60000
Reported Licensed Staffing Hours per Resident per Day
1.38250
Reported Total Nurse Staffing Hours per Resident per Day
3.60875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05375
Expected CNA Staffing Hours per Resident per Day
2.31149
Expected LPN Staffing Hours per Resident per Day
0.64781
Expected RN Staffing Hours per Resident per Day
1.16980
Expected Total Nurse Staffing Hours per Resident per Day
4.12910
Adjusted CNA Staffing Hours per Resident per Day
2.36322
Adjusted LPN Staffing Hours per Resident per Day
1.00257
Adjusted RN Staffing Hours per Resident per Day
0.38325
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52293
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
73.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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