Indiana Nursing Homes >> Indianapolis Nursing Homes >> Forum At The Crossing

Forum At The Crossing - Indianapolis Nursing Home

General Information

UPDATE
Federal Provider Number
155294
Provider Name
FORUM AT THE CROSSING
Provider Address
8505 WOODFIELD CROSSING BLVD
INDIANAPOLIS, IN 46240
Provider Phone Number
(317) 466-2020
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
44
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR CROSSING LLC
Date First Approved to Provide Medicare and Medicaid services
1987-02-13
Continuing Care Retirement Community
Y
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
5
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
2.20795
Reported LPN Staffing Hours per Resident per Day
1.27955
Reported RN Staffing Hours per Resident per Day
1.29773
Reported Licensed Staffing Hours per Resident per Day
2.57727
Reported Total Nurse Staffing Hours per Resident per Day
4.78523
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50114
Expected CNA Staffing Hours per Resident per Day
2.32685
Expected LPN Staffing Hours per Resident per Day
0.61188
Expected RN Staffing Hours per Resident per Day
1.15597
Expected Total Nurse Staffing Hours per Resident per Day
4.09470
Adjusted CNA Staffing Hours per Resident per Day
2.32832
Adjusted LPN Staffing Hours per Resident per Day
1.73568
Adjusted RN Staffing Hours per Resident per Day
0.83883
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71068
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-17
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
21
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2014-01-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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