Whispering Pines Rehabilitation Centre - Monticello Nursing Home

General Information

UPDATE
Federal Provider Number
155323
Provider Name
WHISPERING PINES REHABILITATION CENTRE
Provider Address
410 TIOGA RD
MONTICELLO, IN 47960
Provider Phone Number
(574) 583-6707
Provider SSA County
900
Provider County Name
White
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
80
Number of Residents in Certified Beds
46
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
1988-08-18
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57717
Reported LPN Staffing Hours per Resident per Day
1.49130
Reported RN Staffing Hours per Resident per Day
1.06848
Reported Licensed Staffing Hours per Resident per Day
2.55978
Reported Total Nurse Staffing Hours per Resident per Day
5.13695
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09348
Expected CNA Staffing Hours per Resident per Day
2.47420
Expected LPN Staffing Hours per Resident per Day
0.77875
Expected RN Staffing Hours per Resident per Day
1.23481
Expected Total Nurse Staffing Hours per Resident per Day
4.48776
Adjusted CNA Staffing Hours per Resident per Day
2.55582
Adjusted LPN Staffing Hours per Resident per Day
1.58945
Adjusted RN Staffing Hours per Resident per Day
0.64655
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61400
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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