Williamsburg Health Care - Crawfordsville Nursing Home
General Information
UPDATEFederal Provider Number
155261
Provider Name
WILLIAMSBURG HEALTH CARE
Provider Address
1609 LAFAYETTE RD
CRAWFORDSVILLE, IN 47933
CRAWFORDSVILLE, IN 47933
Provider Phone Number
(765) 364-0363
Provider SSA County
530
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
116
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUTNAM COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-06-28
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.66455
Reported LPN Staffing Hours per Resident per Day
1.44182
Reported RN Staffing Hours per Resident per Day
0.92182
Reported Licensed Staffing Hours per Resident per Day
2.36364
Reported Total Nurse Staffing Hours per Resident per Day
5.02819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01818
Expected CNA Staffing Hours per Resident per Day
2.37798
Expected LPN Staffing Hours per Resident per Day
0.70949
Expected RN Staffing Hours per Resident per Day
1.07644
Expected Total Nurse Staffing Hours per Resident per Day
4.16391
Adjusted CNA Staffing Hours per Resident per Day
2.74939
Adjusted LPN Staffing Hours per Resident per Day
1.68673
Adjusted RN Staffing Hours per Resident per Day
0.63987
Adjusted Total Nurse Staffing Hours per Resident per Day
4.86757
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
36
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
2
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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