Maple Manor Christian Home Inc - Sellersburg Nursing Home
General Information
UPDATEFederal Provider Number
155766
Provider Name
MAPLE MANOR CHRISTIAN HOME INC
Provider Address
643 W UTICA ST
SELLERSBURG, IN 47172
SELLERSBURG, IN 47172
Provider Phone Number
8122464866
Provider SSA County
90
Provider County Name
Clark
Ownership Type
Non profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE MANOR CHRISTIAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-12-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05789
Reported LPN Staffing Hours per Resident per Day
1.35702
Reported RN Staffing Hours per Resident per Day
0.72105
Reported Licensed Staffing Hours per Resident per Day
2.07807
Reported Total Nurse Staffing Hours per Resident per Day
4.13596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.46128
Expected LPN Staffing Hours per Resident per Day
0.58285
Expected RN Staffing Hours per Resident per Day
0.93533
Expected Total Nurse Staffing Hours per Resident per Day
3.97946
Adjusted CNA Staffing Hours per Resident per Day
2.05155
Adjusted LPN Staffing Hours per Resident per Day
1.93243
Adjusted RN Staffing Hours per Resident per Day
0.57602
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18942
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
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
12
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-07-29
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
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
Nursiong Homes Nearby
Kindred Transitional Care And Rehab-sellersburg
7823 Old Hwy # 60 |
SELLERSBURG IN 47172 | 0.6 mile away
Westminster Health Care Center
2210 Greentree N |
CLARKSVILLE IN 47129 | 5 miles away
Kindred Transitional Care And Rehab-wedgewood
101 Potters Ln |
CLARKSVILLE IN 47129 | 5.4 miles away
Clark Rehabilitation And Skilled Nursing Center
517 N Little League Blvd |
CLARKSVILLE IN 47129 | 6.9 miles away
Riverview Village
586 Eastern Blvd |
CLARKSVILLE IN 47129 | 7.3 miles away
Hillcrest Village
203 Sparks Ave |
JEFFERSONVILLE IN 47130 | 8.5 miles away
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