Westminster Village Health & Rehab - Terre Haute Nursing Home

General Information

UPDATE
Federal Provider Number
155221
Provider Name
WESTMINSTER VILLAGE HEALTH & REHAB
Provider Address
1120 E DAVIS DR
TERRE HAUTE, IN 47802
Provider Phone Number
(812) 232-7533
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESTMINSTER VILLAGE TERRE HAUTE INC
Date First Approved to Provide Medicare and Medicaid services
1983-09-09
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
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
2.66346
Reported LPN Staffing Hours per Resident per Day
0.87788
Reported RN Staffing Hours per Resident per Day
1.33462
Reported Licensed Staffing Hours per Resident per Day
2.21250
Reported Total Nurse Staffing Hours per Resident per Day
4.87596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15481
Expected CNA Staffing Hours per Resident per Day
2.39815
Expected LPN Staffing Hours per Resident per Day
0.60254
Expected RN Staffing Hours per Resident per Day
0.94010
Expected Total Nurse Staffing Hours per Resident per Day
3.94078
Adjusted CNA Staffing Hours per Resident per Day
2.72516
Adjusted LPN Staffing Hours per Resident per Day
1.20929
Adjusted RN Staffing Hours per Resident per Day
1.06077
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98746
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-16
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
7
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
2013-09-05
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-19
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
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4063
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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