Countryside Manor Health & Living Community - Anderson Nursing Home
General Information
UPDATEFederal Provider Number
155258
Provider Name
COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY
Provider Address
205 MARINE DR
ANDERSON, IN 46016
ANDERSON, IN 46016
Provider Phone Number
7656494558
Provider SSA County
470
Provider County Name
Madison
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-04-03
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.96173
Reported LPN Staffing Hours per Resident per Day
0.97041
Reported RN Staffing Hours per Resident per Day
1.04439
Reported Licensed Staffing Hours per Resident per Day
2.01480
Reported Total Nurse Staffing Hours per Resident per Day
3.97653
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14082
Expected CNA Staffing Hours per Resident per Day
2.44907
Expected LPN Staffing Hours per Resident per Day
0.76728
Expected RN Staffing Hours per Resident per Day
1.44900
Expected Total Nurse Staffing Hours per Resident per Day
4.66535
Adjusted CNA Staffing Hours per Resident per Day
1.96544
Adjusted LPN Staffing Hours per Resident per Day
1.04973
Adjusted RN Staffing Hours per Resident per Day
0.53856
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43575
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-27
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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
Nursiong Homes Nearby
Meadow Brook Rehabilitation Centre & Suites
1821 Lindberg Rd |
ANDERSON IN 46012 | 2.7 miles away
Manorcare Health Services
1345 N Madison Ave |
ANDERSON IN 46011 | 3 miles away
Edgewater Woods
1809 N Madison Ave |
ANDERSON IN 46011 | 3.3 miles away
Community Northview Care Center
1235 W Cross St |
ANDERSON IN 46011 | 3.4 miles away
Bethany Pointe Health Campus
1707 Bethany Rd |
ANDERSON IN 46012 | 3.8 miles away
Rawlins House Health & Living Community
300 J H Walker Dr |
PENDLETON IN 46064 | 6.2 miles away
Alexandria Care Center
1912 S Park Ave |
ALEXANDRIA IN 46001 | 10.9 miles away
Community Parkview Care Center
2300 Parkview Ln |
ELWOOD IN 46036 | 15.9 miles away
Summit Convalescent Center
701 S Main St |
SUMMITVILLE IN 46070 | 17 miles away
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