Indiana Nursing Homes >> Jasper Nursing Homes >> Cathedral Health Care Center

Cathedral Health Care Center - Jasper Nursing Home

General Information

UPDATE
Federal Provider Number
155720
Provider Name
CATHEDRAL HEALTH CARE CENTER
Provider Address
520 W 9TH ST
JASPER, IN 47546
Provider Phone Number
(812) 482-6603
Provider SSA County
180
Provider County Name
Dubois
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
60
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2003-03-05
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.57778
Reported LPN Staffing Hours per Resident per Day
0.62361
Reported RN Staffing Hours per Resident per Day
1.00278
Reported Licensed Staffing Hours per Resident per Day
1.62639
Reported Total Nurse Staffing Hours per Resident per Day
3.20417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02639
Expected CNA Staffing Hours per Resident per Day
2.26648
Expected LPN Staffing Hours per Resident per Day
0.65411
Expected RN Staffing Hours per Resident per Day
1.05520
Expected Total Nurse Staffing Hours per Resident per Day
3.97580
Adjusted CNA Staffing Hours per Resident per Day
1.70811
Adjusted LPN Staffing Hours per Resident per Day
0.79129
Adjusted RN Staffing Hours per Resident per Day
0.71008
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24858
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
233
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
233
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
703
Cycle 3 Standard Health Survey Date
2013-01-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
703
Total Weighted Health Survey Score
264.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
3
Total Amount of Fines in Dollars
34270
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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