Bertha D Garten Ketcham Memorial Center - Odon Nursing Home
General Information
UPDATEFederal Provider Number
155539
Provider Name
BERTHA D GARTEN KETCHAM MEMORIAL CENTER
Provider Address
601 E RACE ST
ODON, IN 47562
ODON, IN 47562
Provider Phone Number
8126364920
Provider SSA County
130
Provider County Name
Daviess
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-10-10
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.02170
Reported LPN Staffing Hours per Resident per Day
0.52264
Reported RN Staffing Hours per Resident per Day
0.91132
Reported Licensed Staffing Hours per Resident per Day
1.43396
Reported Total Nurse Staffing Hours per Resident per Day
4.45566
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08491
Expected CNA Staffing Hours per Resident per Day
2.48719
Expected LPN Staffing Hours per Resident per Day
0.63288
Expected RN Staffing Hours per Resident per Day
0.89263
Expected Total Nurse Staffing Hours per Resident per Day
4.01271
Adjusted CNA Staffing Hours per Resident per Day
2.98101
Adjusted LPN Staffing Hours per Resident per Day
0.68542
Adjusted RN Staffing Hours per Resident per Day
0.76284
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47586
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-02-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
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