Hampton Oaks Health Campus - Scottsburg Nursing Home
General Information
UPDATEFederal Provider Number
155753
Provider Name
HAMPTON OAKS HEALTH CAMPUS
Provider Address
966 N WILSON RD
SCOTTSBURG, IN 47170
SCOTTSBURG, IN 47170
Provider Phone Number
(812) 752-2694
Provider SSA County
710
Provider County Name
Scott
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OPERATIONS OF SCOTTSBURG, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-04-12
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.85357
Reported LPN Staffing Hours per Resident per Day
1.56161
Reported RN Staffing Hours per Resident per Day
1.11250
Reported Licensed Staffing Hours per Resident per Day
2.67411
Reported Total Nurse Staffing Hours per Resident per Day
5.52768
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08571
Expected CNA Staffing Hours per Resident per Day
2.62087
Expected LPN Staffing Hours per Resident per Day
0.68254
Expected RN Staffing Hours per Resident per Day
1.12048
Expected Total Nurse Staffing Hours per Resident per Day
4.42390
Adjusted CNA Staffing Hours per Resident per Day
2.67156
Adjusted LPN Staffing Hours per Resident per Day
1.89899
Adjusted RN Staffing Hours per Resident per Day
0.74188
Adjusted Total Nurse Staffing Hours per Resident per Day
5.03663
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-23
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
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
2
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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