University Place Inc - West Lafayette Nursing Home

General Information

UPDATE
Federal Provider Number
155725
Provider Name
UNIVERSITY PLACE INC
Provider Address
1750 LINDBERG RD
WEST LAFAYETTE, IN 47906
Provider Phone Number
(765) 464-5600
Provider SSA County
780
Provider County Name
Tippecanoe
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNIVERSITY PLACE INC
Date First Approved to Provide Medicare and Medicaid services
2004-01-05
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.38913
Reported LPN Staffing Hours per Resident per Day
0.62174
Reported RN Staffing Hours per Resident per Day
1.18696
Reported Licensed Staffing Hours per Resident per Day
1.80870
Reported Total Nurse Staffing Hours per Resident per Day
4.19783
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24783
Expected CNA Staffing Hours per Resident per Day
2.41437
Expected LPN Staffing Hours per Resident per Day
0.68777
Expected RN Staffing Hours per Resident per Day
1.35601
Expected Total Nurse Staffing Hours per Resident per Day
4.45814
Adjusted CNA Staffing Hours per Resident per Day
2.42805
Adjusted LPN Staffing Hours per Resident per Day
0.75032
Adjusted RN Staffing Hours per Resident per Day
0.65405
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79554
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-29
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
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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