Core Of Dale - Dale Nursing Home
General Information
UPDATEFederal Provider Number
155270
Provider Name
CORE OF DALE
Provider Address
510 W MEDCALF ROAD
DALE, IN 47523
DALE, IN 47523
Provider Phone Number
(812) 937-7073
Provider SSA County
730
Provider County Name
Spencer
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
60
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-10-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.31915
Reported LPN Staffing Hours per Resident per Day
0.60213
Reported RN Staffing Hours per Resident per Day
1.24468
Reported Licensed Staffing Hours per Resident per Day
1.84681
Reported Total Nurse Staffing Hours per Resident per Day
4.16596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02021
Expected CNA Staffing Hours per Resident per Day
2.20195
Expected LPN Staffing Hours per Resident per Day
0.63823
Expected RN Staffing Hours per Resident per Day
0.98873
Expected Total Nurse Staffing Hours per Resident per Day
3.82890
Adjusted CNA Staffing Hours per Resident per Day
2.58431
Adjusted LPN Staffing Hours per Resident per Day
0.78306
Adjusted RN Staffing Hours per Resident per Day
0.94063
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38574
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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