Rawlins House Health & Living Community - Pendleton Nursing Home
General Information
UPDATEFederal Provider Number
155357
Provider Name
RAWLINS HOUSE HEALTH & LIVING COMMUNITY
Provider Address
300 J H WALKER DR
PENDLETON, IN 46064
PENDLETON, IN 46064
Provider Phone Number
7657787501
Provider SSA County
470
Provider County Name
Madison
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1990-05-04
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.51979
Reported LPN Staffing Hours per Resident per Day
1.04010
Reported RN Staffing Hours per Resident per Day
1.21458
Reported Licensed Staffing Hours per Resident per Day
2.25469
Reported Total Nurse Staffing Hours per Resident per Day
3.77447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10469
Expected CNA Staffing Hours per Resident per Day
2.45438
Expected LPN Staffing Hours per Resident per Day
0.64853
Expected RN Staffing Hours per Resident per Day
1.07741
Expected Total Nurse Staffing Hours per Resident per Day
4.18031
Adjusted CNA Staffing Hours per Resident per Day
1.51937
Adjusted LPN Staffing Hours per Resident per Day
1.33115
Adjusted RN Staffing Hours per Resident per Day
0.84233
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63956
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-05-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
46.00000
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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