Willowbend Living Center - Muncie Nursing Home
General Information
UPDATEFederal Provider Number
155549
Provider Name
WILLOWBEND LIVING CENTER
Provider Address
7524 E JACKSON ST
MUNCIE, IN 47302
MUNCIE, IN 47302
Provider Phone Number
(765) 747-7820
Provider SSA County
170
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
44
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
1994-11-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.75455
Reported LPN Staffing Hours per Resident per Day
1.16364
Reported RN Staffing Hours per Resident per Day
0.87159
Reported Licensed Staffing Hours per Resident per Day
2.03523
Reported Total Nurse Staffing Hours per Resident per Day
3.78978
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.45318
Expected LPN Staffing Hours per Resident per Day
0.69586
Expected RN Staffing Hours per Resident per Day
1.15922
Expected Total Nurse Staffing Hours per Resident per Day
4.30827
Adjusted CNA Staffing Hours per Resident per Day
1.75492
Adjusted LPN Staffing Hours per Resident per Day
1.38795
Adjusted RN Staffing Hours per Resident per Day
0.56180
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54579
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-08
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
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
11
Number of Fines
2
Total Amount of Fines in Dollars
27988
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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