Overall Rating
Address
125 W Margaret Ave
Terre Haute, IN 47802
Contact
8122323311
Certification Date
1984-08-31
CMS Certification Number
155234
Ownership Type
Government - County
Number of Certified Beds
66
Average Number of Residents per Day
45.6
Provider Type
Medicare and Medicaid
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Affiliated Entity Name
HCF MANAGEMENT INDIANA
Affiliated Entity ID
252
Health Inspection Rating
2
Quality Measure Rating
2
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.11484
Reported LPN Staffing Hours per Resident per Day
0.58482
Reported RN Staffing Hours per Resident per Day
0.45696
Reported Total Nurse Staffing Hours per Resident per Day
3.15662
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.70561
Registered Nurse Hours per Resident per Day on the Weekend
0.24158
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02785
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
48.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-04-17
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
0
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2022-04-13
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
1
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2020-02-28
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
0
Health Deficiency Score
76
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
76
Number of Fines
2
Total Amount of Fines in Dollars
31185.00
Number of Payment Denials
0
Total Number of Penalties
2