Kindred Transitional Care And Rehab- Eagle Creek - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155664
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB- EAGLE CREEK
Provider Address
4102 SHORE DR
INDIANAPOLIS, IN 46254
INDIANAPOLIS, IN 46254
Provider Phone Number
3173479051
Provider SSA County
480
Provider County Name
Marion
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
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
1999-04-29
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.09595
Reported LPN Staffing Hours per Resident per Day
0.93559
Reported RN Staffing Hours per Resident per Day
0.89234
Reported Licensed Staffing Hours per Resident per Day
1.82793
Reported Total Nurse Staffing Hours per Resident per Day
3.92388
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27297
Expected CNA Staffing Hours per Resident per Day
2.36150
Expected LPN Staffing Hours per Resident per Day
0.68470
Expected RN Staffing Hours per Resident per Day
1.34169
Expected Total Nurse Staffing Hours per Resident per Day
4.38789
Adjusted CNA Staffing Hours per Resident per Day
2.17778
Adjusted LPN Staffing Hours per Resident per Day
1.13413
Adjusted RN Staffing Hours per Resident per Day
0.49695
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60464
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-12
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
7
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
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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