Signature Healthcare At Parkwood - Lebanon Nursing Home

General Information

UPDATE
Federal Provider Number
155378
Provider Name
SIGNATURE HEALTHCARE AT PARKWOOD
Provider Address
1001 N GRANT ST
LEBANON, IN 46052
Provider Phone Number
(765) 482-6400
Provider SSA County
50
Provider County Name
Boone
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-06-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.00217
Reported LPN Staffing Hours per Resident per Day
0.63913
Reported RN Staffing Hours per Resident per Day
1.05109
Reported Licensed Staffing Hours per Resident per Day
1.69022
Reported Total Nurse Staffing Hours per Resident per Day
3.69239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13478
Expected CNA Staffing Hours per Resident per Day
2.48166
Expected LPN Staffing Hours per Resident per Day
0.67679
Expected RN Staffing Hours per Resident per Day
1.23532
Expected Total Nurse Staffing Hours per Resident per Day
4.39377
Adjusted CNA Staffing Hours per Resident per Day
1.97961
Adjusted LPN Staffing Hours per Resident per Day
0.78382
Adjusted RN Staffing Hours per Resident per Day
0.63576
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38744
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
14
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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