Arbor Trace Health & Living Community - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
155481
Provider Name
ARBOR TRACE HEALTH & LIVING COMMUNITY
Provider Address
3701 HODGIN RD
RICHMOND, IN 47374
RICHMOND, IN 47374
Provider Phone Number
(765) 939-3701
Provider SSA County
880
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1993-01-29
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.02865
Reported LPN Staffing Hours per Resident per Day
1.07083
Reported RN Staffing Hours per Resident per Day
0.91302
Reported Licensed Staffing Hours per Resident per Day
1.98385
Reported Total Nurse Staffing Hours per Resident per Day
4.01250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11510
Expected CNA Staffing Hours per Resident per Day
2.39913
Expected LPN Staffing Hours per Resident per Day
0.64923
Expected RN Staffing Hours per Resident per Day
1.07815
Expected Total Nurse Staffing Hours per Resident per Day
4.12651
Adjusted CNA Staffing Hours per Resident per Day
2.07480
Adjusted LPN Staffing Hours per Resident per Day
1.36898
Adjusted RN Staffing Hours per Resident per Day
0.63276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91953
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-22
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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