Hildegard Health Center Inc - Ferdinand Nursing Home

General Information

UPDATE
Federal Provider Number
15E681
Provider Name
HILDEGARD HEALTH CENTER INC
Provider Address
802 E 10TH ST
FERDINAND, IN 47532
Provider Phone Number
(812) 367-2022
Provider SSA County
180
Provider County Name
Dubois
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
17
Number of Residents in Certified Beds
16
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2005-05-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.07188
Reported LPN Staffing Hours per Resident per Day
0.53438
Reported RN Staffing Hours per Resident per Day
2.00938
Reported Licensed Staffing Hours per Resident per Day
2.54375
Reported Total Nurse Staffing Hours per Resident per Day
4.61564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.15554
Expected LPN Staffing Hours per Resident per Day
0.54598
Expected RN Staffing Hours per Resident per Day
0.72243
Expected Total Nurse Staffing Hours per Resident per Day
3.42396
Adjusted CNA Staffing Hours per Resident per Day
2.35846
Adjusted LPN Staffing Hours per Resident per Day
0.81236
Adjusted RN Staffing Hours per Resident per Day
2.07827
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43382
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-12-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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