Harbour Manor Health & Living Community - Noblesville Nursing Home

General Information

UPDATE
Federal Provider Number
155381
Provider Name
HARBOUR MANOR HEALTH & LIVING COMMUNITY
Provider Address
1667 SHERIDAN RD
NOBLESVILLE, IN 46060
Provider Phone Number
(317) 773-9205
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
For profit - Corporation
Number of Certified Beds
129
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-07-08
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.09818
Reported LPN Staffing Hours per Resident per Day
0.99818
Reported RN Staffing Hours per Resident per Day
1.00364
Reported Licensed Staffing Hours per Resident per Day
2.00182
Reported Total Nurse Staffing Hours per Resident per Day
4.10000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06909
Expected CNA Staffing Hours per Resident per Day
2.53732
Expected LPN Staffing Hours per Resident per Day
0.65654
Expected RN Staffing Hours per Resident per Day
1.11816
Expected Total Nurse Staffing Hours per Resident per Day
4.31202
Adjusted CNA Staffing Hours per Resident per Day
2.02903
Adjusted LPN Staffing Hours per Resident per Day
1.26190
Adjusted RN Staffing Hours per Resident per Day
0.67067
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83270
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-08
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
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
8775
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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