Meadows Manor East - Terre Haute Nursing Home
General Information
UPDATEFederal Provider Number
155358
Provider Name
MEADOWS MANOR EAST
Provider Address
3300 POPLAR ST
TERRE HAUTE, IN 47803
TERRE HAUTE, IN 47803
Provider Phone Number
(812) 235-6281
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
86
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1990-05-15
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
1.89844
Reported LPN Staffing Hours per Resident per Day
0.85547
Reported RN Staffing Hours per Resident per Day
1.73125
Reported Licensed Staffing Hours per Resident per Day
2.58672
Reported Total Nurse Staffing Hours per Resident per Day
4.48516
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09688
Expected CNA Staffing Hours per Resident per Day
2.29212
Expected LPN Staffing Hours per Resident per Day
0.63980
Expected RN Staffing Hours per Resident per Day
1.04645
Expected Total Nurse Staffing Hours per Resident per Day
3.97837
Adjusted CNA Staffing Hours per Resident per Day
2.03227
Adjusted LPN Staffing Hours per Resident per Day
1.10978
Adjusted RN Staffing Hours per Resident per Day
1.23617
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54438
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-14
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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