Kindred Transitional Care And Rehab-wedgewood - Clarksville Nursing Home
General Information
UPDATEFederal Provider Number
155265
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB-WEDGEWOOD
Provider Address
101 POTTERS LN
CLARKSVILLE, IN 47129
CLARKSVILLE, IN 47129
Provider Phone Number
(812) 948-0808
Provider SSA County
90
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
124
Number of Residents in Certified Beds
107
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
1985-11-25
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
2.35981
Reported LPN Staffing Hours per Resident per Day
0.87103
Reported RN Staffing Hours per Resident per Day
0.81822
Reported Licensed Staffing Hours per Resident per Day
1.68925
Reported Total Nurse Staffing Hours per Resident per Day
4.04906
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11682
Expected CNA Staffing Hours per Resident per Day
2.41332
Expected LPN Staffing Hours per Resident per Day
0.67344
Expected RN Staffing Hours per Resident per Day
1.21984
Expected Total Nurse Staffing Hours per Resident per Day
4.30660
Adjusted CNA Staffing Hours per Resident per Day
2.39930
Adjusted LPN Staffing Hours per Resident per Day
1.07352
Adjusted RN Staffing Hours per Resident per Day
0.50119
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78985
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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