Riverbend Health Care Center - Fort Wayne Nursing Home
General Information
UPDATEFederal Provider Number
155359
Provider Name
RIVERBEND HEALTH CARE CENTER
Provider Address
7519 WINCHESTER RD
FORT WAYNE, IN 46819
FORT WAYNE, IN 46819
Provider Phone Number
(260) 747-7435
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
66
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERBEND HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-09
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.74800
Reported LPN Staffing Hours per Resident per Day
1.11000
Reported RN Staffing Hours per Resident per Day
0.47200
Reported Licensed Staffing Hours per Resident per Day
1.58200
Reported Total Nurse Staffing Hours per Resident per Day
3.33000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07700
Expected CNA Staffing Hours per Resident per Day
2.44211
Expected LPN Staffing Hours per Resident per Day
0.68960
Expected RN Staffing Hours per Resident per Day
1.21305
Expected Total Nurse Staffing Hours per Resident per Day
4.34477
Adjusted CNA Staffing Hours per Resident per Day
1.75629
Adjusted LPN Staffing Hours per Resident per Day
1.33600
Adjusted RN Staffing Hours per Resident per Day
0.29074
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08944
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
289
Cycle 2 Standard Health Survey Date
2013-08-21
Cycle 2 Number of Health Revisits
3
Cycle 2 Health Revisit Score
202
Cycle 2 Total Health Score
491
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
233.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
27040
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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