Bridgewater Rehabilitation Centre - Hartford City Nursing Home
General Information
UPDATEFederal Provider Number
155699
Provider Name
BRIDGEWATER REHABILITATION CENTRE
Provider Address
715 N MILL ST
HARTFORD CITY, IN 47348
HARTFORD CITY, IN 47348
Provider Phone Number
(765) 348-2273
Provider SSA County
40
Provider County Name
Blackford
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
78
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2002-03-19
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
4
Health Inspection Rating Footnote
QM Rating
1
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
2.75244
Reported LPN Staffing Hours per Resident per Day
1.86098
Reported RN Staffing Hours per Resident per Day
1.09756
Reported Licensed Staffing Hours per Resident per Day
2.95854
Reported Total Nurse Staffing Hours per Resident per Day
5.71098
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13902
Expected CNA Staffing Hours per Resident per Day
2.53998
Expected LPN Staffing Hours per Resident per Day
0.80996
Expected RN Staffing Hours per Resident per Day
1.27535
Expected Total Nurse Staffing Hours per Resident per Day
4.62529
Adjusted CNA Staffing Hours per Resident per Day
2.65894
Adjusted LPN Staffing Hours per Resident per Day
1.90703
Adjusted RN Staffing Hours per Resident per Day
0.64304
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97706
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-03-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
27.33300
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
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Nursiong Homes Nearby
Miller's Merry Manor
0548 S 100 W |
HARTFORD CITY IN 47348 | 1.8 miles away