Cypress Grove Rehabilitation Center - Newburgh Nursing Home
General Information
UPDATEFederal Provider Number
155273
Provider Name
CYPRESS GROVE REHABILITATION CENTER
Provider Address
4255 MEDWELL DR
NEWBURGH, IN 47630
NEWBURGH, IN 47630
Provider Phone Number
(812) 853-2993
Provider SSA County
860
Provider County Name
Warrick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1986-01-10
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
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
2.29577
Reported LPN Staffing Hours per Resident per Day
0.57324
Reported RN Staffing Hours per Resident per Day
1.05141
Reported Licensed Staffing Hours per Resident per Day
1.62465
Reported Total Nurse Staffing Hours per Resident per Day
3.92042
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04437
Expected CNA Staffing Hours per Resident per Day
2.41743
Expected LPN Staffing Hours per Resident per Day
0.67468
Expected RN Staffing Hours per Resident per Day
1.25568
Expected Total Nurse Staffing Hours per Resident per Day
4.34778
Adjusted CNA Staffing Hours per Resident per Day
2.33021
Adjusted LPN Staffing Hours per Resident per Day
0.70521
Adjusted RN Staffing Hours per Resident per Day
0.62565
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63468
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-09-23
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
54
Cycle 2 Total Health Score
162
Cycle 3 Total Number of Health Deficiencies
35
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
22
Cycle 3 Health Deficiency Score
192
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
192
Total Weighted Health Survey Score
132.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
22
Number of Fines
1
Total Amount of Fines in Dollars
2340
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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