Community Nursing And Rehabilitation Center - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155029
Provider Name
COMMUNITY NURSING AND REHABILITATION CENTER
Provider Address
5600 E 16TH ST
INDIANAPOLIS, IN 46218
INDIANAPOLIS, IN 46218
Provider Phone Number
(317) 356-0911
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
95
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
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.49684
Reported LPN Staffing Hours per Resident per Day
1.16526
Reported RN Staffing Hours per Resident per Day
1.27895
Reported Licensed Staffing Hours per Resident per Day
2.44421
Reported Total Nurse Staffing Hours per Resident per Day
4.94105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06000
Expected CNA Staffing Hours per Resident per Day
2.98178
Expected LPN Staffing Hours per Resident per Day
0.86683
Expected RN Staffing Hours per Resident per Day
1.43999
Expected Total Nurse Staffing Hours per Resident per Day
5.28860
Adjusted CNA Staffing Hours per Resident per Day
2.05464
Adjusted LPN Staffing Hours per Resident per Day
1.11576
Adjusted RN Staffing Hours per Resident per Day
0.66364
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76600
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-06
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
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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