Indiana Nursing Homes >> Brownstown Nursing Homes >> Hoosier Christian Village

Hoosier Christian Village - Brownstown Nursing Home

General Information

UPDATE
Federal Provider Number
155611
Provider Name
HOOSIER CHRISTIAN VILLAGE
Provider Address
621 S SUGAR ST
BROWNSTOWN, IN 47220
Provider Phone Number
8123582504
Provider SSA County
350
Provider County Name
Jackson
Ownership Type
Government - County
Number of Certified Beds
97
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1997-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.50761
Reported LPN Staffing Hours per Resident per Day
0.74511
Reported RN Staffing Hours per Resident per Day
0.72337
Reported Licensed Staffing Hours per Resident per Day
1.46848
Reported Total Nurse Staffing Hours per Resident per Day
3.97609
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06196
Expected CNA Staffing Hours per Resident per Day
2.42666
Expected LPN Staffing Hours per Resident per Day
0.63045
Expected RN Staffing Hours per Resident per Day
1.01016
Expected Total Nurse Staffing Hours per Resident per Day
4.06727
Adjusted CNA Staffing Hours per Resident per Day
2.53556
Adjusted LPN Staffing Hours per Resident per Day
0.98095
Adjusted RN Staffing Hours per Resident per Day
0.53506
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94054
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
12
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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