Skilled Caring Center Of Memorial Hospital - Jasper Nursing Home
General Information
UPDATEFederal Provider Number
155305
Provider Name
SKILLED CARING CENTER OF MEMORIAL HOSPITAL
Provider Address
800 W NINTH ST
JASPER, IN 47546
JASPER, IN 47546
Provider Phone Number
8124820674
Provider SSA County
180
Provider County Name
Dubois
Ownership Type
Non profit - Church related
Number of Certified Beds
20
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC
Date First Approved to Provide Medicare and Medicaid services
1987-08-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.24667
Reported LPN Staffing Hours per Resident per Day
0.54667
Reported RN Staffing Hours per Resident per Day
5.05667
Reported Licensed Staffing Hours per Resident per Day
5.60333
Reported Total Nurse Staffing Hours per Resident per Day
7.85001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08000
Expected CNA Staffing Hours per Resident per Day
2.59651
Expected LPN Staffing Hours per Resident per Day
0.82969
Expected RN Staffing Hours per Resident per Day
1.99662
Expected Total Nurse Staffing Hours per Resident per Day
5.42282
Adjusted CNA Staffing Hours per Resident per Day
2.12310
Adjusted LPN Staffing Hours per Resident per Day
0.54687
Adjusted RN Staffing Hours per Resident per Day
1.89237
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83508
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-05-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-06-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Cathedral Health Care Center
520 W 9th St |
JASPER IN 47546 | 0.2 mile away
Good Samaritan Society Northwood Retirement Comm
2515 Newton St |
JASPER IN 47547 | 1.2 miles away
St Charles Health Campus
3150 St Charles St |
JASPER IN 47546 | 1.4 miles away
Timbers Of Jasper The
2909 Howard Dr |
JASPER IN 47546 | 1.4 miles away
Brookside Village Inc
1111 Church Ave |
JASPER IN 47546 | 2 miles away
Waters Of Huntingburg, The
1712 Leland Dr |
HUNTINGBURG IN 47542 | 5.8 miles away
Hildegard Health Center Inc
802 E 10th St |
FERDINAND IN 47532 | 12.6 miles away
Scenic Hills Care Center
311 E First St |
FERDINAND IN 47532 | 13.1 miles away
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