Heritage House Of Richmond - Richmond Nursing Home
General Information
UPDATEFederal Provider Number
155228
Provider Name
HERITAGE HOUSE OF RICHMOND
Provider Address
2070 CHESTER BLVD
RICHMOND, IN 47374
RICHMOND, IN 47374
Provider Phone Number
(765) 962-3543
Provider SSA County
880
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
87
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.01481
Reported LPN Staffing Hours per Resident per Day
0.68889
Reported RN Staffing Hours per Resident per Day
0.98981
Reported Licensed Staffing Hours per Resident per Day
1.67870
Reported Total Nurse Staffing Hours per Resident per Day
3.69351
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12407
Expected CNA Staffing Hours per Resident per Day
2.36973
Expected LPN Staffing Hours per Resident per Day
0.68037
Expected RN Staffing Hours per Resident per Day
1.22858
Expected Total Nurse Staffing Hours per Resident per Day
4.27869
Adjusted CNA Staffing Hours per Resident per Day
2.08621
Adjusted LPN Staffing Hours per Resident per Day
0.84039
Adjusted RN Staffing Hours per Resident per Day
0.60198
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47961
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
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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