Transitional Care Unit Of St Joseph - Fort Wayne Nursing Home
General Information
UPDATEFederal Provider Number
155356
Provider Name
TRANSITIONAL CARE UNIT OF ST JOSEPH
Provider Address
700 BROADWAY TRANSITIONAL CARE UNIT
FORT WAYNE, IN 46802
FORT WAYNE, IN 46802
Provider Phone Number
(260) 425-3940
Provider SSA County
10
Provider County Name
Allen
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
ST JOSEPH HEALTH SYSTEM LLC
Date First Approved to Provide Medicare and Medicaid services
1990-04-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
0.00000
Reported LPN Staffing Hours per Resident per Day
1.25357
Reported RN Staffing Hours per Resident per Day
6.33571
Reported Licensed Staffing Hours per Resident per Day
7.58929
Reported Total Nurse Staffing Hours per Resident per Day
7.58928
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32143
Expected CNA Staffing Hours per Resident per Day
2.18347
Expected LPN Staffing Hours per Resident per Day
0.90278
Expected RN Staffing Hours per Resident per Day
1.78405
Expected Total Nurse Staffing Hours per Resident per Day
4.87030
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
1.15251
Adjusted RN Staffing Hours per Resident per Day
2.65353
Adjusted Total Nurse Staffing Hours per Resident per Day
6.28127
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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