Hooverwood - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155001
Provider Name
HOOVERWOOD
Provider Address
7001 HOOVER RD
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
Provider Phone Number
3172512261
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Government - County
Number of Certified Beds
188
Number of Residents in Certified Beds
158
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Health Inspection Rating Footnote
QM Rating
4
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
3.57437
Reported LPN Staffing Hours per Resident per Day
0.85633
Reported RN Staffing Hours per Resident per Day
0.63924
Reported Licensed Staffing Hours per Resident per Day
1.49557
Reported Total Nurse Staffing Hours per Resident per Day
5.06994
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01076
Expected CNA Staffing Hours per Resident per Day
2.56212
Expected LPN Staffing Hours per Resident per Day
0.59254
Expected RN Staffing Hours per Resident per Day
0.92588
Expected Total Nurse Staffing Hours per Resident per Day
4.08054
Adjusted CNA Staffing Hours per Resident per Day
3.42311
Adjusted LPN Staffing Hours per Resident per Day
1.19951
Adjusted RN Staffing Hours per Resident per Day
0.51588
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00826
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-16
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
7605
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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