Amber Manor Care Center - Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
155361
Provider Name
AMBER MANOR CARE CENTER
Provider Address
801 E ILLINOIS ST
PETERSBURG, IN 47567
PETERSBURG, IN 47567
Provider Phone Number
(812) 354-3001
Provider SSA County
620
Provider County Name
Pike
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SAMARITAN HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1990-06-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.24914
Reported LPN Staffing Hours per Resident per Day
0.63707
Reported RN Staffing Hours per Resident per Day
0.73707
Reported Licensed Staffing Hours per Resident per Day
1.37414
Reported Total Nurse Staffing Hours per Resident per Day
3.62328
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07241
Expected CNA Staffing Hours per Resident per Day
2.47791
Expected LPN Staffing Hours per Resident per Day
0.64913
Expected RN Staffing Hours per Resident per Day
1.10783
Expected Total Nurse Staffing Hours per Resident per Day
4.23487
Adjusted CNA Staffing Hours per Resident per Day
2.22717
Adjusted LPN Staffing Hours per Resident per Day
0.81458
Adjusted RN Staffing Hours per Resident per Day
0.49713
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44877
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Golden Living Center-petersburg
309 W Pike Ave |
PETERSBURG IN 47567 | 1.1 miles away