Witham Extended Care
Witham Extended Care Information
| Facility Name | Witham Extended Care |
| Location | 2605 N Lebanon Street, Lebanon, IN 46052 |
| County (SSA Code) | Boone (50) |
| Phone Number | 765-485-8300 |
| Certification(s) | Medicare |
| Number of Beds | 18 |
| Average Number of Residents | 11.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | None |
| Provider Business Name | WITHAM MEMORIAL HOSPITAL |
| Ownership Type | Government - County |
| Date First Approved | 2015-05-07 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.13409 |
| Reported LPN Staffing Hours per Resident per Day | 1.87741 |
| Reported RN Staffing - Hours per Resident per Day | 3.15747 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 5.03487 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 7.16896 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.82635 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24468 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.94719 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.53959 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.73146 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.12521 |
| Total Weighted Health Survey Score for three cycles | 14 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-11 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-08 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-30 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |