Westridge Health Care Center - Terre Haute Nursing Home

General Information

UPDATE
Federal Provider Number
155234
Provider Name
WESTRIDGE HEALTH CARE CENTER
Provider Address
125 W MARGARET AVE
TERRE HAUTE, IN 47802
Provider Phone Number
(812) 232-3311
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
66
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-08-31
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.80439
Reported LPN Staffing Hours per Resident per Day
1.69561
Reported RN Staffing Hours per Resident per Day
0.79912
Reported Licensed Staffing Hours per Resident per Day
2.49474
Reported Total Nurse Staffing Hours per Resident per Day
4.29912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.67388
Expected LPN Staffing Hours per Resident per Day
0.87418
Expected RN Staffing Hours per Resident per Day
1.41393
Expected Total Nurse Staffing Hours per Resident per Day
4.96199
Adjusted CNA Staffing Hours per Resident per Day
1.65581
Adjusted LPN Staffing Hours per Resident per Day
1.60992
Adjusted RN Staffing Hours per Resident per Day
0.42230
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49241
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
344
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
344
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
152.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
3
Total Amount of Fines in Dollars
10869
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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