Oakbrook Village - Huntington Nursing Home
General Information
UPDATEFederal Provider Number
155531
Provider Name
OAKBROOK VILLAGE
Provider Address
850 ASH ST
HUNTINGTON, IN 46750
HUNTINGTON, IN 46750
Provider Phone Number
(260) 358-0047
Provider SSA County
340
Provider County Name
Huntington
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
55
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-06-30
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.65385
Reported LPN Staffing Hours per Resident per Day
2.12308
Reported RN Staffing Hours per Resident per Day
1.17115
Reported Licensed Staffing Hours per Resident per Day
3.29423
Reported Total Nurse Staffing Hours per Resident per Day
6.94808
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10962
Expected CNA Staffing Hours per Resident per Day
2.42420
Expected LPN Staffing Hours per Resident per Day
0.74007
Expected RN Staffing Hours per Resident per Day
1.26380
Expected Total Nurse Staffing Hours per Resident per Day
4.42807
Adjusted CNA Staffing Hours per Resident per Day
3.69831
Adjusted LPN Staffing Hours per Resident per Day
2.38108
Adjusted RN Staffing Hours per Resident per Day
0.69242
Adjusted Total Nurse Staffing Hours per Resident per Day
6.32488
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
16
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.66700
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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