Grandview Health & Rehabilitation Center - Martinsville Nursing Home
General Information
UPDATEFederal Provider Number
155605
Provider Name
GRANDVIEW HEALTH & REHABILITATION CENTER
Provider Address
1959 E COLUMBUS ST
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
Provider Phone Number
(765) 342-7114
Provider SSA County
540
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
100
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1996-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20400
Reported LPN Staffing Hours per Resident per Day
0.99333
Reported RN Staffing Hours per Resident per Day
0.60733
Reported Licensed Staffing Hours per Resident per Day
1.60067
Reported Total Nurse Staffing Hours per Resident per Day
3.80466
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00867
Expected CNA Staffing Hours per Resident per Day
2.42967
Expected LPN Staffing Hours per Resident per Day
0.71662
Expected RN Staffing Hours per Resident per Day
1.19629
Expected Total Nurse Staffing Hours per Resident per Day
4.34258
Adjusted CNA Staffing Hours per Resident per Day
2.22580
Adjusted LPN Staffing Hours per Resident per Day
1.15050
Adjusted RN Staffing Hours per Resident per Day
0.37934
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53159
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-21
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
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
14.00000
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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