Community Northview Care Center - Anderson Nursing Home

General Information

UPDATE
Federal Provider Number
155718
Provider Name
COMMUNITY NORTHVIEW CARE CENTER
Provider Address
1235 W CROSS ST
ANDERSON, IN 46011
Provider Phone Number
(765) 298-2540
Provider SSA County
470
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
101
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2003-03-06
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36216
Reported LPN Staffing Hours per Resident per Day
1.56284
Reported RN Staffing Hours per Resident per Day
0.32500
Reported Licensed Staffing Hours per Resident per Day
1.88784
Reported Total Nurse Staffing Hours per Resident per Day
4.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10811
Expected CNA Staffing Hours per Resident per Day
2.54644
Expected LPN Staffing Hours per Resident per Day
0.70139
Expected RN Staffing Hours per Resident per Day
1.20112
Expected Total Nurse Staffing Hours per Resident per Day
4.44895
Adjusted CNA Staffing Hours per Resident per Day
2.27613
Adjusted LPN Staffing Hours per Resident per Day
1.84941
Adjusted RN Staffing Hours per Resident per Day
0.20218
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85064
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-02-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-03-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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