Waldron Health And Rehab Center - Waldron Nursing Home
General Information
UPDATEFederal Provider Number
155704
Provider Name
WALDRON HEALTH AND REHAB CENTER
Provider Address
505 N MAIN ST
WALDRON, IN 46182
WALDRON, IN 46182
Provider Phone Number
(765) 525-4371
Provider SSA County
720
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2002-08-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16455
Reported LPN Staffing Hours per Resident per Day
0.59273
Reported RN Staffing Hours per Resident per Day
0.85273
Reported Licensed Staffing Hours per Resident per Day
1.44545
Reported Total Nurse Staffing Hours per Resident per Day
3.61001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14455
Expected CNA Staffing Hours per Resident per Day
2.61089
Expected LPN Staffing Hours per Resident per Day
0.74810
Expected RN Staffing Hours per Resident per Day
1.40040
Expected Total Nurse Staffing Hours per Resident per Day
4.75939
Adjusted CNA Staffing Hours per Resident per Day
2.03423
Adjusted LPN Staffing Hours per Resident per Day
0.65762
Adjusted RN Staffing Hours per Resident per Day
0.45498
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05745
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
1690
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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