Pineknoll Rehabilitation Centre - Winchester Nursing Home
General Information
UPDATEFederal Provider Number
155527
Provider Name
PINEKNOLL REHABILITATION CENTRE
Provider Address
160 N MIDDLE SCHOOL RD
WINCHESTER, IN 47394
WINCHESTER, IN 47394
Provider Phone Number
(765) 584-5084
Provider SSA County
670
Provider County Name
Randolph
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
44
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
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
2.59659
Reported LPN Staffing Hours per Resident per Day
1.16705
Reported RN Staffing Hours per Resident per Day
1.19091
Reported Licensed Staffing Hours per Resident per Day
2.35795
Reported Total Nurse Staffing Hours per Resident per Day
4.95455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03750
Expected CNA Staffing Hours per Resident per Day
2.48901
Expected LPN Staffing Hours per Resident per Day
0.75485
Expected RN Staffing Hours per Resident per Day
1.24159
Expected Total Nurse Staffing Hours per Resident per Day
4.48545
Adjusted CNA Staffing Hours per Resident per Day
2.55975
Adjusted LPN Staffing Hours per Resident per Day
1.28323
Adjusted RN Staffing Hours per Resident per Day
0.71670
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45246
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-07-15
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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