Lakeland Skilled Nursing and Rehabilitation
500 N Williams St, Angola, IN 46703


Lakeland Skilled Nursing and Rehabilitation is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155596. The address is 500 N Williams St, Angola, IN 46703. The zip code is 46703. The phone number is 2606652161.


Lakeland Skilled Nursing and Rehabilitation · 500 N Williams St, Angola, IN 46703

Federal Provider Number 155596
Provider Name LAKELAND SKILLED NURSING AND REHABILITATION
Address 500 N WILLIAMS ST
ANGOLA, IN 46703
Phone Number 2606652161
SSA County Code 750
County Name Steuben
Ownership Type For profit - Corporation
Certified Beds 75
Certified Beds Residents 64
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 06/01/1996
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.9375
Reported LPN Staffing Hours per Resident per Day 0.84297
Reported RN Staffing Hours per Resident per Day 0.55938
Reported Licensed Staffing Hours per Resident per Day 1.40234
Reported Total Nurse Staffing Hours per Resident per Day 3.33985
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06563
Expected CNA Staffing Hours per Resident per Day 2.30295
Expected LPN Staffing Hours per Resident per Day 0.61417
Expected RN Staffing Hours per Resident per Day 1.08659
Expected Total Nurse Staffing Hours per Resident per Day 4.00371
Adjusted CNA Staffing Hours per Resident per Day 2.06433
Adjusted LPN Staffing Hours per Resident per Day 1.1392
Adjusted RN Staffing Hours per Resident per Day 0.38466
Adjusted Total Nurse Staffing Hours per Resident per Day 3.36253
Cycle 1 Standard Survey Health Date 07/01/2016
Cycle 2 Standard Health Survey Date 06/11/2015
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 07/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 1.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lakeland Skilled Nursing and Rehabilitation

Owner Name Role Association Date
BRAMMER, DUANE (Individual) DIRECTOR since 09/04/2014
BRAMMER, DUANE (Individual) OFFICER since 09/04/2014
COVENANT CARE CALIFORNIA, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/04/2014
DYNES, SHELDON (Individual) DIRECTOR since 09/04/2014
DYNES, SHELDON (Individual) OFFICER since 09/04/2014
FERGUSON, MARTHA (Individual) MANAGING EMPLOYEE since 09/04/2014
HENRY COUNTY MEMORIAL HOSPITAL (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 09/04/2014
JANSSEN, PAUL (Individual) DIRECTOR since 09/04/2014
JANSSEN, PAUL (Individual) OFFICER since 09/04/2014
LEVIN, ROBERT (Individual) OFFICER since 09/04/2014
LEVIN, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/04/2014
PIDGEON, JOHN (Individual) DIRECTOR since 09/04/2014
PIDGEON, JOHN (Individual) OFFICER since 09/04/2014
PRIVETT, JUDITH (Individual) MANAGING EMPLOYEE since 09/04/2014
SHORE, MARION (Individual) DIRECTOR since 09/04/2014

46703 · Nursing Home

Northern Lakes Nursing and Rehabilitation Center 516 N Williams St, Angola, IN 46703

Angola · Nursing Home

Northern Lakes Nursing and Rehabilitation Center 516 N Williams St, Angola, IN 46703

IN · Nursing Home

Lowell Healthcare 710 Michigan St, Lowell, IN 46356
Swiss Villa Nursing and Rehabilitation 1023 W Main St, Vevay, IN 47043
Milner Community Health Care 370 E Main St, Rossville, IN 46065
Mill Pond Health Campus 1014 Mill Pond Ln, Greencastle, IN 46135
Lawrence Manor Healthcare Center 8935 E 46th St, Indianapolis, IN 46226
University Place Health Center and Assisted Living 1750 Lindberg Rd, West Lafayette, IN 47906
Miller's Merry Manor 787 N Detroit St, Lagrange, IN 46761
Golden Living Center-bloomington 155 E Burks Dr, Bloomington, IN 47401
Lutheran Life Villages 351 N Allen Chapel Rd, Kendallville, IN 46755
Green-hill Manor 501 N Lincoln Ave, Fowler, IN 47944
Highland Nursing and Rehabilitation Center 9630 Fifth St, Highland, IN 46322
Catherine Kasper Home 9601 S Union Rd, Donaldson, IN 46513
Briarcliff Health & Rehabilitation Center 5024 Western Avenue, South Bend, IN 46619
Hickory Creek At Greensburg 1620 N Lincoln St, Greensburg, IN 47240
Courtyard Healthcare Center 2400 College Ave, Goshen, IN 46526
Cypress Grove Rehabilitation Center 4255 Medwell Dr, Newburgh, IN 47630
University Nursing Center 1564 S University Blvd, Upland, IN 46989
White River Lodge 3710 Kenny Simpson Ln, Bedford, IN 47421
Willowbend Living Center 7524 E Jackson St, Muncie, IN 47302
West Bend Nursing and Rehabilitation 4600 W Washington Ave, South Bend, IN 46619
Especially Kidz Health & Rehab 2325 S Miller St, Shelbyville, IN 46176
East Lake Nursing & Rehabilitation Center 1900 Jeanwood Dr, Elkhart, IN 46514
Creasy Springs Health Campus 1750 S Creasy Ln, Lafayette, IN 47905
Waldron Health and Rehab Center 505 N Main St, Waldron, IN 46182
Saint Anthony Rehab and Nursing Center 1205 N 14th St, Lafayette, IN 47904
Bridgewater Rehabilitation Centre 715 N Mill St, Hartford City, IN 47348
Fairway Village 2630 S Keystone Ave, Indianapolis, IN 46203
Greenwood Village South 295 Village Lane, Greenwood, IN 46143
Manor Care Health Services Summer Trace 12999 N Pennsylvania St, Carmel, IN 46032
Miller's Merry Manor 1720 Alber St, Wabash, IN 46992
Summit Convalescent Center 701 S Main St, Summitville, IN 46070
University Heights Health and Living Community 1380 E County Line Rd S, Indianapolis, IN 46227
Allisonville Meadows 10312 Allisonville Rd, Fishers, IN 46038
Miller's Merry Manor 300 N Washington St, Wakarusa, IN 46573
Addison Pointe Health & Rehabilitation Center 780 Dickinson Road, Chesterton, IN 46304
Harbour Manor Health & Living Community 1667 Sheridan Rd, Noblesville, IN 46060
Scenic Hills Care Center 311 E First St, Ferdinand, IN 47532
St Anthony Home - Crown Point 203 Franciscan Dr, Crown Point, IN 46307
Waters of Clifty Falls, The 950 Cross Ave, Madison, IN 47250
Heritage Park 2001 Hobson Rd, Fort Wayne, IN 46805