Edgewater Woods - Anderson Nursing Home
General Information
UPDATEFederal Provider Number
155066
Provider Name
EDGEWATER WOODS
Provider Address
1809 N MADISON AVE
ANDERSON, IN 46011
ANDERSON, IN 46011
Provider Phone Number
(765) 644-0903
Provider SSA County
470
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
77
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
1968-02-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.81623
Reported LPN Staffing Hours per Resident per Day
0.70000
Reported RN Staffing Hours per Resident per Day
1.22273
Reported Licensed Staffing Hours per Resident per Day
1.92273
Reported Total Nurse Staffing Hours per Resident per Day
5.73896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07143
Expected CNA Staffing Hours per Resident per Day
2.83440
Expected LPN Staffing Hours per Resident per Day
0.82485
Expected RN Staffing Hours per Resident per Day
1.37237
Expected Total Nurse Staffing Hours per Resident per Day
5.03162
Adjusted CNA Staffing Hours per Resident per Day
3.30365
Adjusted LPN Staffing Hours per Resident per Day
0.70437
Adjusted RN Staffing Hours per Resident per Day
0.66573
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59756
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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