Lawrence Manor Healthcare Center - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155721
Provider Name
LAWRENCE MANOR HEALTHCARE CENTER
Provider Address
8935 E 46TH ST
INDIANAPOLIS, IN 46226
INDIANAPOLIS, IN 46226
Provider Phone Number
(317) 898-1515
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2003-07-21
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37021
Reported LPN Staffing Hours per Resident per Day
0.72979
Reported RN Staffing Hours per Resident per Day
0.40000
Reported Licensed Staffing Hours per Resident per Day
1.12979
Reported Total Nurse Staffing Hours per Resident per Day
3.50000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13404
Expected CNA Staffing Hours per Resident per Day
2.26909
Expected LPN Staffing Hours per Resident per Day
0.62882
Expected RN Staffing Hours per Resident per Day
1.28071
Expected Total Nurse Staffing Hours per Resident per Day
4.17861
Adjusted CNA Staffing Hours per Resident per Day
2.56305
Adjusted LPN Staffing Hours per Resident per Day
0.96328
Adjusted RN Staffing Hours per Resident per Day
0.23337
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37628
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
242
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
242
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
14
Cycle 3 Total Health Score
42
Total Weighted Health Survey Score
115.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
19263
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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