Rockville Nursing And Rehabilitation Center - Rockville Nursing Home
General Information
UPDATEFederal Provider Number
155464
Provider Name
ROCKVILLE NURSING AND REHABILITATION CENTER
Provider Address
768 N US HWY 41
ROCKVILLE, IN 47872
ROCKVILLE, IN 47872
Provider Phone Number
7655696526
Provider SSA County
600
Provider County Name
Parke
Ownership Type
Non profit - Other
Number of Certified Beds
8
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1992-09-01
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
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72903
Reported LPN Staffing Hours per Resident per Day
0.78065
Reported RN Staffing Hours per Resident per Day
0.66129
Reported Licensed Staffing Hours per Resident per Day
1.44194
Reported Total Nurse Staffing Hours per Resident per Day
3.17097
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14677
Expected CNA Staffing Hours per Resident per Day
2.46801
Expected LPN Staffing Hours per Resident per Day
0.64794
Expected RN Staffing Hours per Resident per Day
1.06608
Expected Total Nurse Staffing Hours per Resident per Day
4.18203
Adjusted CNA Staffing Hours per Resident per Day
1.71900
Adjusted LPN Staffing Hours per Resident per Day
0.99999
Adjusted RN Staffing Hours per Resident per Day
0.46349
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05638
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-07
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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