Eagle Valley Meadows - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155291
Provider Name
EAGLE VALLEY MEADOWS
Provider Address
3017 VALLEY FARMS RD
INDIANAPOLIS, IN 46214
INDIANAPOLIS, IN 46214
Provider Phone Number
(317) 293-2555
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
114
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1987-01-06
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
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
2.75350
Reported LPN Staffing Hours per Resident per Day
0.92950
Reported RN Staffing Hours per Resident per Day
1.16150
Reported Licensed Staffing Hours per Resident per Day
2.09100
Reported Total Nurse Staffing Hours per Resident per Day
4.84450
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12550
Expected CNA Staffing Hours per Resident per Day
2.67904
Expected LPN Staffing Hours per Resident per Day
0.76865
Expected RN Staffing Hours per Resident per Day
1.37100
Expected Total Nurse Staffing Hours per Resident per Day
4.81869
Adjusted CNA Staffing Hours per Resident per Day
2.52189
Adjusted LPN Staffing Hours per Resident per Day
1.00369
Adjusted RN Staffing Hours per Resident per Day
0.63302
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05249
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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