Overall Rating
Address
2402 South Street
Lafayette, IN 47904
Contact
7654469229
Certification Date
2015-03-24
CMS Certification Number
155829
Ownership Type
Non profit - Corporation
Number of Certified Beds
70
Average Number of Residents per Day
38.2
Provider Type
Medicare and Medicaid
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Affiliated Entity Name
TRILOGY HEALTH SERVICES
Affiliated Entity ID
524
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.94277
Reported LPN Staffing Hours per Resident per Day
0.97691
Reported RN Staffing Hours per Resident per Day
0.75802
Reported Total Nurse Staffing Hours per Resident per Day
3.67770
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.30079
Registered Nurse Hours per Resident per Day on the Weekend
0.58407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11390
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
4
Total Weighted Health Survey Score
45.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-07-19
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2022-08-09
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
2
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2019-09-25
Total Number of Health Deficiencies
16
Number of Standard Health Deficiencies
16
Number of Complaint Health Deficiencies
0
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0