Contact Information

WITHAM EXTENDED CARE
WITHAM MEMORIAL HOSPITAL
2605 N LEBANON STREET
LEBANON, IN 46052
(765) 485-8300
Government - County
Medicare certification date2: May 07, 2015
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  13 residents

  18 certified beds

  Participates in Medicare

  Continuing Care Retirement Community

  In hospital

  No Resident or Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 13 residents Indiana Average National Average
Hours by Registered Nurse (RN) per resident per day 3 hours, 24 minutes 39 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 21 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 10 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day n/a 6 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • WITHAM MEMORIAL HOSPITAL

DIRECTOR

  • HAWKINS, C ARCHIBALD
  • JONES, JACK
  • MCFRYE, MARGARET
  • MORTON, NANCY
  • NEWHART, BEVERLY

MANAGING EMPLOYEE

  • BARDOCZI, STEPHEN

OFFICER

  • INGHAM, RAYMOND
  • POGAS, GEORGE

Nursing Home Report

In 2016, WITHAM EXTENDED CARE charged a total of $6,213,847 for 170 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 78.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 24% Alzheimer's 29%
Asthma 38% Cancer 18%
Congestive Heart Failure 44% Kidney Disease 48%
COPD 40% Depression 36%
Diabetes 39% Hyperlipidemia 64%
Hypertension n/a Ischemic Heart Disease 53%
Osteoporosis 22% RA / OA 63%
Schizophrenia 6% Stroke 9%
Demographics
Medicare Beneficiaries 170 Average Age 78
Male 56 Female 114
White 169
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Jun 08, 2018; fire safety inspection: May 29, 2018

Health Deficiencies as of 06/08/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights 1
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/29/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also