Overall Rating
Address
2201 Cason St
Lafayette, IN 47904
Contact
7654474102
Certification Date
1969-05-26
CMS Certification Number
155094
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
79
Average Number of Residents per Day
61.3
Provider Type
Medicare and Medicaid
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Affiliated Entity Name
TRILOGY HEALTH SERVICES
Affiliated Entity ID
524
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.00476
Reported LPN Staffing Hours per Resident per Day
0.34658
Reported RN Staffing Hours per Resident per Day
0.65146
Reported Total Nurse Staffing Hours per Resident per Day
3.00281
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.59923
Registered Nurse Hours per Resident per Day on the Weekend
0.58026
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04626
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
2
Total Weighted Health Survey Score
66.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-02-13
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
1
Health Deficiency Score
40
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
40
Standard Health Survey Date
2020-01-23
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
2
Health Deficiency Score
74
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
74
Standard Health Survey Date
2018-10-23
Total Number of Health Deficiencies
23
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
6
Health Deficiency Score
128
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
128
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0