Gentlecare Of Vincennes - Vincennes Nursing Home

General Information

UPDATE
Federal Provider Number
155519
Provider Name
GENTLECARE OF VINCENNES
Provider Address
1202 S 16TH ST
VINCENNES, IN 47591
Provider Phone Number
(812) 882-8292
Provider SSA County
410
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SAMARITAN HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.28256
Reported LPN Staffing Hours per Resident per Day
1.08605
Reported RN Staffing Hours per Resident per Day
0.94419
Reported Licensed Staffing Hours per Resident per Day
2.03023
Reported Total Nurse Staffing Hours per Resident per Day
4.31280
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02442
Expected CNA Staffing Hours per Resident per Day
2.33893
Expected LPN Staffing Hours per Resident per Day
0.62163
Expected RN Staffing Hours per Resident per Day
1.05978
Expected Total Nurse Staffing Hours per Resident per Day
4.02034
Adjusted CNA Staffing Hours per Resident per Day
2.39456
Adjusted LPN Staffing Hours per Resident per Day
1.45009
Adjusted RN Staffing Hours per Resident per Day
0.66571
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32413
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
28
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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