Warsaw Meadows - Warsaw Nursing Home
General Information
UPDATEFederal Provider Number
155566
Provider Name
WARSAW MEADOWS
Provider Address
300 E PRAIRIE ST
WARSAW, IN 46580
WARSAW, IN 46580
Provider Phone Number
(574) 267-8922
Provider SSA County
420
Provider County Name
Kosciusko
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.93060
Reported LPN Staffing Hours per Resident per Day
0.76119
Reported RN Staffing Hours per Resident per Day
0.60597
Reported Licensed Staffing Hours per Resident per Day
1.36716
Reported Total Nurse Staffing Hours per Resident per Day
3.29776
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08731
Expected CNA Staffing Hours per Resident per Day
2.29587
Expected LPN Staffing Hours per Resident per Day
0.66939
Expected RN Staffing Hours per Resident per Day
1.40888
Expected Total Nurse Staffing Hours per Resident per Day
4.37415
Adjusted CNA Staffing Hours per Resident per Day
2.06332
Adjusted LPN Staffing Hours per Resident per Day
0.94383
Adjusted RN Staffing Hours per Resident per Day
0.32138
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03898
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
6100
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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