Hamilton Trace Of Fishers - Fishers Nursing Home
General Information
UPDATEFederal Provider Number
155793
Provider Name
HAMILTON TRACE OF FISHERS
Provider Address
11851 CUMBERLAND RD
FISHERS, IN 46037
FISHERS, IN 46037
Provider Phone Number
(317) 813-4444
Provider SSA County
280
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
108
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDRICKS COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2011-10-25
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
2
Health Inspection Rating Footnote
QM Rating
4
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
2.13281
Reported LPN Staffing Hours per Resident per Day
1.09115
Reported RN Staffing Hours per Resident per Day
1.26042
Reported Licensed Staffing Hours per Resident per Day
2.35156
Reported Total Nurse Staffing Hours per Resident per Day
4.48438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17865
Expected CNA Staffing Hours per Resident per Day
2.47507
Expected LPN Staffing Hours per Resident per Day
0.66483
Expected RN Staffing Hours per Resident per Day
1.23631
Expected Total Nurse Staffing Hours per Resident per Day
4.37621
Adjusted CNA Staffing Hours per Resident per Day
2.11439
Adjusted LPN Staffing Hours per Resident per Day
1.36224
Adjusted RN Staffing Hours per Resident per Day
0.76177
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13053
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
18
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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