Rosewalk Village At Lafayette - Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155121
Provider Name
ROSEWALK VILLAGE AT LAFAYETTE
Provider Address
1903 UNION ST
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
Provider Phone Number
(765) 447-9431
Provider SSA County
780
Provider County Name
Tippecanoe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1970-10-08
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.42400
Reported LPN Staffing Hours per Resident per Day
1.25720
Reported RN Staffing Hours per Resident per Day
1.32240
Reported Licensed Staffing Hours per Resident per Day
2.57960
Reported Total Nurse Staffing Hours per Resident per Day
5.00360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09160
Expected CNA Staffing Hours per Resident per Day
2.86026
Expected LPN Staffing Hours per Resident per Day
0.79666
Expected RN Staffing Hours per Resident per Day
1.31418
Expected Total Nurse Staffing Hours per Resident per Day
4.97110
Adjusted CNA Staffing Hours per Resident per Day
2.07945
Adjusted LPN Staffing Hours per Resident per Day
1.30982
Adjusted RN Staffing Hours per Resident per Day
0.75187
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05725
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
26100
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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