American Village - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155292
Provider Name
AMERICAN VILLAGE
Provider Address
2026 E 54TH ST
INDIANAPOLIS, IN 46220
INDIANAPOLIS, IN 46220
Provider Phone Number
3172536950
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Government - County
Number of Certified Beds
150
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1987-02-06
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09275
Reported LPN Staffing Hours per Resident per Day
1.33478
Reported RN Staffing Hours per Resident per Day
1.30652
Reported Licensed Staffing Hours per Resident per Day
2.64130
Reported Total Nurse Staffing Hours per Resident per Day
5.73405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08007
Expected CNA Staffing Hours per Resident per Day
2.84646
Expected LPN Staffing Hours per Resident per Day
0.76705
Expected RN Staffing Hours per Resident per Day
1.26266
Expected Total Nurse Staffing Hours per Resident per Day
4.87617
Adjusted CNA Staffing Hours per Resident per Day
2.66601
Adjusted LPN Staffing Hours per Resident per Day
1.44432
Adjusted RN Staffing Hours per Resident per Day
0.77315
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74007
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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