Harrison Terrace - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155636
Provider Name
HARRISON TERRACE
Provider Address
1924 WELLESLEY BLVD
INDIANAPOLIS, IN 46219
INDIANAPOLIS, IN 46219
Provider Phone Number
(317) 353-6270
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
110
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-10-01
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
5
QM Rating Footnote
Staffing Rating
3
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
2.49757
Reported LPN Staffing Hours per Resident per Day
0.79612
Reported RN Staffing Hours per Resident per Day
1.04078
Reported Licensed Staffing Hours per Resident per Day
1.83689
Reported Total Nurse Staffing Hours per Resident per Day
4.33447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06505
Expected CNA Staffing Hours per Resident per Day
2.94332
Expected LPN Staffing Hours per Resident per Day
0.80672
Expected RN Staffing Hours per Resident per Day
1.28618
Expected Total Nurse Staffing Hours per Resident per Day
5.03623
Adjusted CNA Staffing Hours per Resident per Day
2.08210
Adjusted LPN Staffing Hours per Resident per Day
0.81909
Adjusted RN Staffing Hours per Resident per Day
0.60463
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46922
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
24
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
10563
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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