Signature Healthcare Of Lafayette - Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155243
Provider Name
SIGNATURE HEALTHCARE OF LAFAYETTE
Provider Address
300 WINDY HILL DR
LAFAYETTE, IN 47905
LAFAYETTE, IN 47905
Provider Phone Number
(765) 477-7791
Provider SSA County
780
Provider County Name
Tippecanoe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
104
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
1985-01-14
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
4
Health Inspection Rating Footnote
QM Rating
3
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
1.74038
Reported LPN Staffing Hours per Resident per Day
1.01442
Reported RN Staffing Hours per Resident per Day
0.87788
Reported Licensed Staffing Hours per Resident per Day
1.89231
Reported Total Nurse Staffing Hours per Resident per Day
3.63268
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10288
Expected CNA Staffing Hours per Resident per Day
2.52382
Expected LPN Staffing Hours per Resident per Day
0.71500
Expected RN Staffing Hours per Resident per Day
1.24790
Expected Total Nurse Staffing Hours per Resident per Day
4.48673
Adjusted CNA Staffing Hours per Resident per Day
1.69202
Adjusted LPN Staffing Hours per Resident per Day
1.17758
Adjusted RN Staffing Hours per Resident per Day
0.52564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26362
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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