Woodlands The - Muncie Nursing Home
General Information
UPDATEFederal Provider Number
155229
Provider Name
WOODLANDS THE
Provider Address
3820 W JACKSON ST
MUNCIE, IN 47304
MUNCIE, IN 47304
Provider Phone Number
(765) 289-3451
Provider SSA County
170
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MUNCIE MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1983-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.51364
Reported LPN Staffing Hours per Resident per Day
0.72727
Reported RN Staffing Hours per Resident per Day
0.64935
Reported Licensed Staffing Hours per Resident per Day
1.37662
Reported Total Nurse Staffing Hours per Resident per Day
2.89026
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07403
Expected CNA Staffing Hours per Resident per Day
2.47847
Expected LPN Staffing Hours per Resident per Day
0.67567
Expected RN Staffing Hours per Resident per Day
1.12499
Expected Total Nurse Staffing Hours per Resident per Day
4.27913
Adjusted CNA Staffing Hours per Resident per Day
1.49851
Adjusted LPN Staffing Hours per Resident per Day
0.89339
Adjusted RN Staffing Hours per Resident per Day
0.43129
Adjusted Total Nurse Staffing Hours per Resident per Day
2.72260
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
56
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-09-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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