Madison Health Care Center - Indianapolis Nursing Home

General Information

UPDATE
Federal Provider Number
155780
Provider Name
MADISON HEALTH CARE CENTER
Provider Address
7465 MADISON AVE
INDIANAPOLIS, IN 46227
Provider Phone Number
(317) 788-3000
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
130
Number of Residents in Certified Beds
83
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
2010-07-13
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
2
Overall Rating Footnote
Health Inspection Rating
3
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
2.13434
Reported LPN Staffing Hours per Resident per Day
1.10181
Reported RN Staffing Hours per Resident per Day
0.41265
Reported Licensed Staffing Hours per Resident per Day
1.51446
Reported Total Nurse Staffing Hours per Resident per Day
3.64880
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32771
Expected CNA Staffing Hours per Resident per Day
2.40191
Expected LPN Staffing Hours per Resident per Day
0.67109
Expected RN Staffing Hours per Resident per Day
1.32734
Expected Total Nurse Staffing Hours per Resident per Day
4.40034
Adjusted CNA Staffing Hours per Resident per Day
2.18036
Adjusted LPN Staffing Hours per Resident per Day
1.36271
Adjusted RN Staffing Hours per Resident per Day
0.23229
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34245
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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