Franklin United Methodist Community Res & Com Care - Franklin Nursing Home
General Information
UPDATEFederal Provider Number
155771
Provider Name
FRANKLIN UNITED METHODIST COMMUNITY RES & COM CARE
Provider Address
1070 W JEFFERSON ST
FRANKLIN, IN 46131
FRANKLIN, IN 46131
Provider Phone Number
(317) 736-7185
Provider SSA County
400
Provider County Name
Johnson
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
208
Number of Residents in Certified Beds
166
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2008-10-03
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.14488
Reported LPN Staffing Hours per Resident per Day
0.88735
Reported RN Staffing Hours per Resident per Day
1.13675
Reported Licensed Staffing Hours per Resident per Day
2.02410
Reported Total Nurse Staffing Hours per Resident per Day
4.16898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11325
Expected CNA Staffing Hours per Resident per Day
2.52574
Expected LPN Staffing Hours per Resident per Day
0.69495
Expected RN Staffing Hours per Resident per Day
1.09770
Expected Total Nurse Staffing Hours per Resident per Day
4.31840
Adjusted CNA Staffing Hours per Resident per Day
2.08370
Adjusted LPN Staffing Hours per Resident per Day
1.05979
Adjusted RN Staffing Hours per Resident per Day
0.77378
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89143
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
3738
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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