Avon Health & Rehabilitation Ctr - Avon Nursing Home
General Information
UPDATEFederal Provider Number
155236
Provider Name
AVON HEALTH & REHABILITATION CTR
Provider Address
4171 FOREST POINTE CIR
AVON, IN 46123
AVON, IN 46123
Provider Phone Number
(317) 745-5184
Provider SSA County
310
Provider County Name
Hendricks
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
137
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-09-10
Continuing Care Retirement Community
Y
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30766
Reported LPN Staffing Hours per Resident per Day
0.91250
Reported RN Staffing Hours per Resident per Day
0.90484
Reported Licensed Staffing Hours per Resident per Day
1.81734
Reported Total Nurse Staffing Hours per Resident per Day
4.12500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15605
Expected CNA Staffing Hours per Resident per Day
2.56923
Expected LPN Staffing Hours per Resident per Day
0.67807
Expected RN Staffing Hours per Resident per Day
1.20164
Expected Total Nurse Staffing Hours per Resident per Day
4.44894
Adjusted CNA Staffing Hours per Resident per Day
2.20389
Adjusted LPN Staffing Hours per Resident per Day
1.11696
Adjusted RN Staffing Hours per Resident per Day
0.56264
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73740
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
28
Cycle 1 Standard Survey Health Date
2014-11-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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