Kindred Transitional Care And Rehab-southwood - Terre Haute Nursing Home
General Information
UPDATEFederal Provider Number
155484
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB-SOUTHWOOD
Provider Address
2222 MARGARET AVE
TERRE HAUTE, IN 47802
TERRE HAUTE, IN 47802
Provider Phone Number
(812) 232-2223
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
149
Number of Residents in Certified Beds
113
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
1993-03-15
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
3
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
2.46062
Reported LPN Staffing Hours per Resident per Day
0.90885
Reported RN Staffing Hours per Resident per Day
0.71858
Reported Licensed Staffing Hours per Resident per Day
1.62743
Reported Total Nurse Staffing Hours per Resident per Day
4.08805
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05310
Expected CNA Staffing Hours per Resident per Day
2.40662
Expected LPN Staffing Hours per Resident per Day
0.68017
Expected RN Staffing Hours per Resident per Day
1.26166
Expected Total Nurse Staffing Hours per Resident per Day
4.34845
Adjusted CNA Staffing Hours per Resident per Day
2.50875
Adjusted LPN Staffing Hours per Resident per Day
1.10906
Adjusted RN Staffing Hours per Resident per Day
0.42557
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78952
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
2015-03-05
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
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
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
24
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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