Westminster Village - West Lafayette - West Lafayette Nursing Home
General Information
UPDATEFederal Provider Number
155177
Provider Name
WESTMINSTER VILLAGE - WEST LAFAYETTE
Provider Address
2741 N SALISBURY ST
WEST LAFAYETTE, IN 47906
WEST LAFAYETTE, IN 47906
Provider Phone Number
(765) 463-7546
Provider SSA County
780
Provider County Name
Tippecanoe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
68
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WESTMINSTER VILLAGE MUNCIE, INC
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3.32206
Reported LPN Staffing Hours per Resident per Day
1.22794
Reported RN Staffing Hours per Resident per Day
0.89044
Reported Licensed Staffing Hours per Resident per Day
2.11838
Reported Total Nurse Staffing Hours per Resident per Day
5.44044
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16838
Expected CNA Staffing Hours per Resident per Day
2.44059
Expected LPN Staffing Hours per Resident per Day
0.57337
Expected RN Staffing Hours per Resident per Day
0.93703
Expected Total Nurse Staffing Hours per Resident per Day
3.95098
Adjusted CNA Staffing Hours per Resident per Day
3.33990
Adjusted LPN Staffing Hours per Resident per Day
1.77756
Adjusted RN Staffing Hours per Resident per Day
0.71005
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55048
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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