Arbor Grove Village - Greensburg Nursing Home
General Information
UPDATEFederal Provider Number
155625
Provider Name
ARBOR GROVE VILLAGE
Provider Address
1021 E CENTRAL AVE
GREENSBURG, IN 47240
GREENSBURG, IN 47240
Provider Phone Number
(812) 663-8553
Provider SSA County
150
Provider County Name
Decatur
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
83
Number of Residents in Certified Beds
76
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
1997-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.65921
Reported LPN Staffing Hours per Resident per Day
0.58553
Reported RN Staffing Hours per Resident per Day
0.95066
Reported Licensed Staffing Hours per Resident per Day
1.53618
Reported Total Nurse Staffing Hours per Resident per Day
4.19540
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06842
Expected CNA Staffing Hours per Resident per Day
2.78723
Expected LPN Staffing Hours per Resident per Day
0.80323
Expected RN Staffing Hours per Resident per Day
1.35387
Expected Total Nurse Staffing Hours per Resident per Day
4.94433
Adjusted CNA Staffing Hours per Resident per Day
2.34100
Adjusted LPN Staffing Hours per Resident per Day
0.60504
Adjusted RN Staffing Hours per Resident per Day
0.52467
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42033
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
22
Number of Fines
1
Total Amount of Fines in Dollars
8385
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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