Bell Trace Health And Living Center - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
155677
Provider Name
BELL TRACE HEALTH AND LIVING CENTER
Provider Address
725 BELL TRACE CIR
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
Provider Phone Number
(812) 323-2858
Provider SSA County
520
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELL TRACE HEALTH AND LIVING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
2000-08-28
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
3
Health Inspection Rating Footnote
QM Rating
4
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
1.87097
Reported LPN Staffing Hours per Resident per Day
1.03306
Reported RN Staffing Hours per Resident per Day
1.50484
Reported Licensed Staffing Hours per Resident per Day
2.53790
Reported Total Nurse Staffing Hours per Resident per Day
4.40887
Reported Physical Therapist Staffing Hours per Resident Per Day
0.48629
Expected CNA Staffing Hours per Resident per Day
2.59581
Expected LPN Staffing Hours per Resident per Day
0.62934
Expected RN Staffing Hours per Resident per Day
1.09387
Expected Total Nurse Staffing Hours per Resident per Day
4.31903
Adjusted CNA Staffing Hours per Resident per Day
1.76854
Adjusted LPN Staffing Hours per Resident per Day
1.36243
Adjusted RN Staffing Hours per Resident per Day
1.02792
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11475
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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