Facility Profile
- Financial data for facility cost report period ending 12/31/2023 (HCRIS 1385441 - 2010).
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Identification
| Name and address: |
AUTUMN LAKE HEALTHCARE AT CHESAPEAKE ### ###, ### ### |
| Telephone: | ### |
| Medicare Provider Number: | ### |
| Metro Area (CBSA): | ### - ### |
| County: | ### - ### |
| Certified Beds: | ### |
| Type of Ownership: | ### |
Survey Information
Data are as posted on Nursing Home Compare as of ###. Definitions
| Overall Star Rating | ### |
| Health Survey | ### — ### — ### deficiencies |
| Fire Survey | ### — ### deficiencies |
| Staffing Measures | ### |
| RN Hours/Resident/Day | ### |
| LPN/LVN Hours/Resident/Day | ### |
| CNA Hours/Resident/Day | ### |
| PT Hours/Resident/Day | ### |
| Quality Measures | ### |
| Participation | ### |
| Located Within a Hospital? | ### |
Medicare Information
Last updated ###. Definitions
Administrative Information
| Fiscal Year Ending Date: | ### |
| Fiscal Intermediary: | ### |
Certifications
| Component | Provider Number | NPI Number | Date Certified |
|---|---|---|---|
| SNF | ### | ### |
Day and Discharge Statistics
For period ending ###.
| Beds | Inpatient Days | ||||
|---|---|---|---|---|---|
| Medicare | Medicaid | Other | Total | ||
| SNF | ### | ### | ### | ### | ### |
| Total | ### | ### | ### | ### | ### |
| Discharges | |||||
|---|---|---|---|---|---|
| Medicare | Medicaid | Other | Total | ||
| SNF | ### | ### | ### | ### | |
| Total | ### | ### | ### | ### | |
| Average Length of Stay | |||||
|---|---|---|---|---|---|
| Medicare | Medicaid | Other | Total | ||
| SNF | ### | ### | ### | ### | |
| Total | ### | ### | ### | ### | |
Wage Index Information
| Direct Care | Adj Salaries | Paid Hours | Avg Hourly |
|---|---|---|---|
| Facility Personnel | ### | ### | ### |
| Non-physician Contract Labor | ### | ### | ### |
| Home Office Labor | ### | ### | ### |
| Wage Related - Other | ### | ### | ### |
| Total Facility | ### | ### | ### |
| Contract Labor - Physician | ### | ### | ### |
| Overhead | Adj Salaries | Paid Hours | Avg Hourly |
|---|---|---|---|
| Employee Benefits | ### | ### | ### |
| Administrative and General | ### | ### | ### |
| Plant Oper, Maint, & Repairs | ### | ### | ### |
| Laundry and Linen Service | ### | ### | ### |
| Housekeeping | ### | ### | ### |
| Dietary | ### | ### | ### |
| Nursing Administration | ### | ### | ### |
| Central Services & Supply | ### | ### | ### |
| Pharmacy | ### | ### | ### |
| Medical Records | ### | ### | ### |
| Social Service | ### | ### | ### |
| Other | ### | ### | ### |
| Total Overhead | ### | ### | ### |