Wellbrooke Of Westfield - Westfield Nursing Home

General Information

UPDATE
Federal Provider Number
155808
Provider Name
WELLBROOKE OF WESTFIELD
Provider Address
937 E 186TH STREET
WESTFIELD, IN 46074
Provider Phone Number
3178048044
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LCS WESTFIELD LLC
Date First Approved to Provide Medicare and Medicaid services
2013-07-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.98438
Reported LPN Staffing Hours per Resident per Day
2.61719
Reported RN Staffing Hours per Resident per Day
1.26094
Reported Licensed Staffing Hours per Resident per Day
3.87813
Reported Total Nurse Staffing Hours per Resident per Day
6.86251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25000
Expected CNA Staffing Hours per Resident per Day
2.46419
Expected LPN Staffing Hours per Resident per Day
0.66120
Expected RN Staffing Hours per Resident per Day
1.22757
Expected Total Nurse Staffing Hours per Resident per Day
4.35296
Adjusted CNA Staffing Hours per Resident per Day
2.97167
Adjusted LPN Staffing Hours per Resident per Day
3.28536
Adjusted RN Staffing Hours per Resident per Day
0.76751
Adjusted Total Nurse Staffing Hours per Resident per Day
6.35478
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2013-07-18
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.80000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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