Betz Nursing Home - Auburn Nursing Home

General Information

UPDATE
Federal Provider Number
155694
Provider Name
BETZ NURSING HOME
Provider Address
116 BETZ RD
AUBURN, IN 46706
Provider Phone Number
2609253814
Provider SSA County
160
Provider County Name
De Kalb
Ownership Type
Government - County
Number of Certified Beds
114
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
2002-01-16
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
5
QM Rating Footnote
Staffing Rating
3
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
2.18186
Reported LPN Staffing Hours per Resident per Day
0.98186
Reported RN Staffing Hours per Resident per Day
1.19951
Reported Licensed Staffing Hours per Resident per Day
2.18137
Reported Total Nurse Staffing Hours per Resident per Day
4.36323
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05539
Expected CNA Staffing Hours per Resident per Day
2.94509
Expected LPN Staffing Hours per Resident per Day
0.74143
Expected RN Staffing Hours per Resident per Day
1.20847
Expected Total Nurse Staffing Hours per Resident per Day
4.89499
Adjusted CNA Staffing Hours per Resident per Day
1.81782
Adjusted LPN Staffing Hours per Resident per Day
1.09915
Adjusted RN Staffing Hours per Resident per Day
0.74166
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59301
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-15
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
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
68
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
12513
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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