| Woodlands the | |
| 3820 W Jackson St, Muncie, Indiana 47304 | |
| (765) 289-3451 | |
| Name | Woodlands the |
|---|---|
| Location | 3820 W Jackson St, Muncie, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 108 |
| Occupancy Rate | 67.13% |
| Medicare ID (CCN) | 155229 |
| Legal Business Name | Hendricks County Hospital |
| Ownership Type | For Profit - Corporation |
| Chain | Life Care Centers of America (194 nursing homes) |
| Chain Average Overall Rating | 3.4 out of 5 |
| NPI Number | 1528015641 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Hendricks County Hospital |
| Doing Business As | The Woodlands |
| Address | 3820 W Jackson St, Muncie, IN 47304 |
| Phone Number | 765-289-3451 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.86 |
| Nurse aide hours per resident per day | 2.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.16 | 3.42 |
| RN hours per resident per day on the weekend | 0.5 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 44.4% | 45.8% |
| Registered nurse turnover | 40% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 7, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 2, 2025 |
| Apr 1, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Apr 1, 2025 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2025 |
| Mar 7, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Apr 8, 2025 |
| Feb 6, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Complaint inspection | Potential for harm, widespread | Corrected by Apr 8, 2025 |
| Feb 6, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| May 16, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 4, 2024 |
| Feb 23, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2024 |
| Feb 23, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2024 |
| Nov 3, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 17, 2023 |
| Aug 24, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Sep 12, 2023 |
| Aug 24, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 12, 2023 |
| Jan 30, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 3, 2023 |
| Jan 30, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 3, 2023 |
| Jan 30, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Mar 3, 2023 |
| Jan 30, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 3, 2023 |
| Jan 30, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 3, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.71 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.79 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.82 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.09 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.03 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.53 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.41 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.78 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.82 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.11 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.87 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.12 | 15.38 |
Bethel Pointe Health and Rehab Location: 3400 W Community Dr, Muncie, Indiana 47304 Phone: (765) 289-2273 |
Brickyard Healthcare - Muncie Care Center Location: 2701 Lyn-mar Dr, Muncie, Indiana 47304 Phone: (765) 286-5979 |
Morrison Woods Health Campus Location: 4100 N Morrison Rd, Muncie, Indiana 47304 Phone: (765) 286-9066 |