Indiana Nursing Homes >> Hanover Nursing Homes >> Hanover Nursing Center

Hanover Nursing Center - Hanover Nursing Home

General Information

UPDATE
Federal Provider Number
155208
Provider Name
HANOVER NURSING CENTER
Provider Address
410 W LAGRANGE RD
HANOVER, IN 47243
Provider Phone Number
(812) 866-2625
Provider SSA County
380
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
125
Number of Residents in Certified Beds
58
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
1982-12-07
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
1
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
2.25603
Reported LPN Staffing Hours per Resident per Day
0.71638
Reported RN Staffing Hours per Resident per Day
0.87069
Reported Licensed Staffing Hours per Resident per Day
1.58707
Reported Total Nurse Staffing Hours per Resident per Day
3.84310
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21810
Expected CNA Staffing Hours per Resident per Day
2.35369
Expected LPN Staffing Hours per Resident per Day
0.68211
Expected RN Staffing Hours per Resident per Day
1.17629
Expected Total Nurse Staffing Hours per Resident per Day
4.21208
Adjusted CNA Staffing Hours per Resident per Day
2.35189
Adjusted LPN Staffing Hours per Resident per Day
0.87170
Adjusted RN Staffing Hours per Resident per Day
0.55308
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67779
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
40
Cycle 1 Standard Survey Health Date
2015-02-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
20
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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