Century Villa Health Care - Greentown Nursing Home

General Information

UPDATE
Federal Provider Number
155510
Provider Name
CENTURY VILLA HEALTH CARE
Provider Address
705 N MERIDIAN ST
GREENTOWN, IN 46936
Provider Phone Number
7656283377
Provider SSA County
330
Provider County Name
Howard
Ownership Type
Government - County
Number of Certified Beds
84
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.94621
Reported LPN Staffing Hours per Resident per Day
0.50303
Reported RN Staffing Hours per Resident per Day
0.81515
Reported Licensed Staffing Hours per Resident per Day
1.31818
Reported Total Nurse Staffing Hours per Resident per Day
3.26439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07045
Expected CNA Staffing Hours per Resident per Day
2.56373
Expected LPN Staffing Hours per Resident per Day
0.59958
Expected RN Staffing Hours per Resident per Day
0.92976
Expected Total Nurse Staffing Hours per Resident per Day
4.09307
Adjusted CNA Staffing Hours per Resident per Day
1.86268
Adjusted LPN Staffing Hours per Resident per Day
0.69634
Adjusted RN Staffing Hours per Resident per Day
0.65510
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21481
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
28
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-22
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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