Beech Grove Meadows - Beech Grove Nursing Home
General Information
UPDATEFederal Provider Number
155072
Provider Name
BEECH GROVE MEADOWS
Provider Address
2002 ALBANY ST
BEECH GROVE, IN 46107
BEECH GROVE, IN 46107
Provider Phone Number
3177832911
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Non profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
113
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
1968-04-29
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.32035
Reported LPN Staffing Hours per Resident per Day
0.99823
Reported RN Staffing Hours per Resident per Day
1.42832
Reported Licensed Staffing Hours per Resident per Day
2.42655
Reported Total Nurse Staffing Hours per Resident per Day
5.74690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07699
Expected CNA Staffing Hours per Resident per Day
2.81545
Expected LPN Staffing Hours per Resident per Day
0.84776
Expected RN Staffing Hours per Resident per Day
1.33780
Expected Total Nurse Staffing Hours per Resident per Day
5.00101
Adjusted CNA Staffing Hours per Resident per Day
2.89373
Adjusted LPN Staffing Hours per Resident per Day
0.97732
Adjusted RN Staffing Hours per Resident per Day
0.79776
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63210
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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