Jennings Healthcare Center - North Vernon Nursing Home
General Information
UPDATEFederal Provider Number
155665
Provider Name
JENNINGS HEALTHCARE CENTER
Provider Address
701 HENRY ST
NORTH VERNON, IN 47265
NORTH VERNON, IN 47265
Provider Phone Number
8123469333
Provider SSA County
390
Provider County Name
Jennings
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JENNINGS HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-05-26
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08009
Reported LPN Staffing Hours per Resident per Day
0.81620
Reported RN Staffing Hours per Resident per Day
0.51250
Reported Licensed Staffing Hours per Resident per Day
1.32870
Reported Total Nurse Staffing Hours per Resident per Day
3.40879
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07407
Expected CNA Staffing Hours per Resident per Day
2.31470
Expected LPN Staffing Hours per Resident per Day
0.62002
Expected RN Staffing Hours per Resident per Day
1.14808
Expected Total Nurse Staffing Hours per Resident per Day
4.08280
Adjusted CNA Staffing Hours per Resident per Day
2.20500
Adjusted LPN Staffing Hours per Resident per Day
1.09262
Adjusted RN Staffing Hours per Resident per Day
0.33355
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36546
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-09
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
24
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
19
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
74
Cycle 3 Total Health Score
222
Total Weighted Health Survey Score
119.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
37
Number of Fines
2
Total Amount of Fines in Dollars
13525
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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