Kindred Transitional Care And Rehab-sellersburg - Sellersburg Nursing Home
General Information
UPDATEFederal Provider Number
155659
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB-SELLERSBURG
Provider Address
7823 OLD HWY # 60
SELLERSBURG, IN 47172
SELLERSBURG, IN 47172
Provider Phone Number
(812) 246-4272
Provider SSA County
90
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
110
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBUS REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1999-02-19
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
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
2.05053
Reported LPN Staffing Hours per Resident per Day
1.56755
Reported RN Staffing Hours per Resident per Day
1.17553
Reported Licensed Staffing Hours per Resident per Day
2.74309
Reported Total Nurse Staffing Hours per Resident per Day
4.79361
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18989
Expected CNA Staffing Hours per Resident per Day
2.61697
Expected LPN Staffing Hours per Resident per Day
0.76461
Expected RN Staffing Hours per Resident per Day
1.43942
Expected Total Nurse Staffing Hours per Resident per Day
4.82100
Adjusted CNA Staffing Hours per Resident per Day
1.92260
Adjusted LPN Staffing Hours per Resident per Day
1.70161
Adjusted RN Staffing Hours per Resident per Day
0.61022
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00800
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
2015-02-06
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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