Greenwood Health And Living Community - Greenwood Nursing Home
General Information
UPDATEFederal Provider Number
155412
Provider Name
GREENWOOD HEALTH AND LIVING COMMUNITY
Provider Address
937 FRY RD
GREENWOOD, IN 46142
GREENWOOD, IN 46142
Provider Phone Number
3178813535
Provider SSA County
400
Provider County Name
Johnson
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-12-02
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.96758
Reported LPN Staffing Hours per Resident per Day
0.53077
Reported RN Staffing Hours per Resident per Day
0.80659
Reported Licensed Staffing Hours per Resident per Day
1.33736
Reported Total Nurse Staffing Hours per Resident per Day
3.30494
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11868
Expected CNA Staffing Hours per Resident per Day
2.62172
Expected LPN Staffing Hours per Resident per Day
0.70690
Expected RN Staffing Hours per Resident per Day
1.20958
Expected Total Nurse Staffing Hours per Resident per Day
4.53820
Adjusted CNA Staffing Hours per Resident per Day
1.84148
Adjusted LPN Staffing Hours per Resident per Day
0.62320
Adjusted RN Staffing Hours per Resident per Day
0.49826
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93550
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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