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Communities At Indian Haven, - Indiana Nursing Home

General Information

UPDATE
Federal Provider Number
395778
Provider Name
COMMUNITIES AT INDIAN HAVEN,
Provider Address
1675 SALTSBURG AVENUE
INDIANA, PA 15701
Provider Phone Number
(724) 465-3900
Provider SSA County
390
Provider County Name
Indiana
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
108
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF INDIANA
Date First Approved to Provide Medicare and Medicaid services
1988-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.82292
Reported LPN Staffing Hours per Resident per Day
1.20781
Reported RN Staffing Hours per Resident per Day
0.69792
Reported Licensed Staffing Hours per Resident per Day
1.90573
Reported Total Nurse Staffing Hours per Resident per Day
3.72865
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07865
Expected CNA Staffing Hours per Resident per Day
2.58424
Expected LPN Staffing Hours per Resident per Day
0.65266
Expected RN Staffing Hours per Resident per Day
1.08334
Expected Total Nurse Staffing Hours per Resident per Day
4.32023
Adjusted CNA Staffing Hours per Resident per Day
1.73084
Adjusted LPN Staffing Hours per Resident per Day
1.53600
Adjusted RN Staffing Hours per Resident per Day
0.48137
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47894
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-25
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
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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