Indiana Nursing Homes >> Evansville Nursing Homes >> Bethel Manor

Bethel Manor - Evansville Nursing Home

General Information

UPDATE
Federal Provider Number
155607
Provider Name
BETHEL MANOR
Provider Address
6015 KRATZVILLE RD
EVANSVILLE, IN 47710
Provider Phone Number
(812) 425-8182
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
63
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1996-09-26
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35424
Reported LPN Staffing Hours per Resident per Day
1.01780
Reported RN Staffing Hours per Resident per Day
0.52627
Reported Licensed Staffing Hours per Resident per Day
1.54407
Reported Total Nurse Staffing Hours per Resident per Day
3.89831
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04746
Expected CNA Staffing Hours per Resident per Day
2.53541
Expected LPN Staffing Hours per Resident per Day
0.63956
Expected RN Staffing Hours per Resident per Day
0.98359
Expected Total Nurse Staffing Hours per Resident per Day
4.15856
Adjusted CNA Staffing Hours per Resident per Day
2.27837
Adjusted LPN Staffing Hours per Resident per Day
1.32087
Adjusted RN Staffing Hours per Resident per Day
0.39979
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77864
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
16
Cycle 3 Standard Health Survey Date
2013-03-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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