Salem Crossing - Salem Nursing Home
General Information
UPDATEFederal Provider Number
155330
Provider Name
SALEM CROSSING
Provider Address
200 CONNIE AVE
SALEM, IN 47167
SALEM, IN 47167
Provider Phone Number
(812) 883-1877
Provider SSA County
870
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
92
Number of Residents in Certified Beds
88
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
1989-03-23
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.53352
Reported LPN Staffing Hours per Resident per Day
0.93920
Reported RN Staffing Hours per Resident per Day
1.15284
Reported Licensed Staffing Hours per Resident per Day
2.09205
Reported Total Nurse Staffing Hours per Resident per Day
4.62556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.85688
Expected LPN Staffing Hours per Resident per Day
0.78369
Expected RN Staffing Hours per Resident per Day
1.32437
Expected Total Nurse Staffing Hours per Resident per Day
4.96493
Adjusted CNA Staffing Hours per Resident per Day
2.17598
Adjusted LPN Staffing Hours per Resident per Day
0.99470
Adjusted RN Staffing Hours per Resident per Day
0.65043
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75537
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-02
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
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
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Nursiong Homes Nearby
Meadow View Health And Rehabilitation Cente
900 Anson St |
SALEM IN 47167 | 0.8 mile away