Rolling Meadows Health Care Center - La Fontaine Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
155551
Provider Name
ROLLING MEADOWS HEALTH CARE CENTER
Provider Address
604 RENNAKER ST
LA FONTAINE, IN 46940
LA FONTAINE, IN 46940
Provider Phone Number
(765) 662-9350
Provider SSA County
840
Provider County Name
Wabash
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.18681
Reported LPN Staffing Hours per Resident per Day
1.49286
Reported RN Staffing Hours per Resident per Day
0.96099
Reported Licensed Staffing Hours per Resident per Day
2.45385
Reported Total Nurse Staffing Hours per Resident per Day
4.64066
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07857
Expected CNA Staffing Hours per Resident per Day
2.57660
Expected LPN Staffing Hours per Resident per Day
0.65273
Expected RN Staffing Hours per Resident per Day
1.06881
Expected Total Nurse Staffing Hours per Resident per Day
4.29814
Adjusted CNA Staffing Hours per Resident per Day
2.08250
Adjusted LPN Staffing Hours per Resident per Day
1.89828
Adjusted RN Staffing Hours per Resident per Day
0.67183
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35212
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-30
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
26.66700
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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