Allisonville Meadows - Fishers Nursing Home

General Information

UPDATE
Federal Provider Number
155786
Provider Name
ALLISONVILLE MEADOWS
Provider Address
10312 ALLISONVILLE RD
FISHERS, IN 46038
Provider Phone Number
3178418777
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
Government - County
Number of Certified Beds
161
Number of Residents in Certified Beds
149
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-02-08
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.32919
Reported LPN Staffing Hours per Resident per Day
0.72651
Reported RN Staffing Hours per Resident per Day
1.39362
Reported Licensed Staffing Hours per Resident per Day
2.12013
Reported Total Nurse Staffing Hours per Resident per Day
4.44932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08859
Expected CNA Staffing Hours per Resident per Day
2.74593
Expected LPN Staffing Hours per Resident per Day
0.78619
Expected RN Staffing Hours per Resident per Day
1.33503
Expected Total Nurse Staffing Hours per Resident per Day
4.86715
Adjusted CNA Staffing Hours per Resident per Day
2.08131
Adjusted LPN Staffing Hours per Resident per Day
0.76700
Adjusted RN Staffing Hours per Resident per Day
0.77999
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68486
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-10
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
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
26
Number of Fines
1
Total Amount of Fines in Dollars
9450
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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