Heritage Center - Evansville Nursing Home
General Information
UPDATEFederal Provider Number
155104
Provider Name
HERITAGE CENTER
Provider Address
1201 W BUENA VISTA RD
EVANSVILLE, IN 47710
EVANSVILLE, IN 47710
Provider Phone Number
(812) 429-0700
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLIDAY HOME HEALTH CARE CORPORATION OF EVANSVILLE
Date First Approved to Provide Medicare and Medicaid services
1979-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.83551
Reported LPN Staffing Hours per Resident per Day
0.88768
Reported RN Staffing Hours per Resident per Day
1.07319
Reported Licensed Staffing Hours per Resident per Day
1.96087
Reported Total Nurse Staffing Hours per Resident per Day
4.79638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13986
Expected CNA Staffing Hours per Resident per Day
2.56800
Expected LPN Staffing Hours per Resident per Day
0.66628
Expected RN Staffing Hours per Resident per Day
1.07183
Expected Total Nurse Staffing Hours per Resident per Day
4.30610
Adjusted CNA Staffing Hours per Resident per Day
2.70931
Adjusted LPN Staffing Hours per Resident per Day
1.10581
Adjusted RN Staffing Hours per Resident per Day
0.74815
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48984
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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