Manorcare Health Services - Anderson Nursing Home
General Information
UPDATEFederal Provider Number
155005
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
1345 N MADISON AVE
ANDERSON, IN 46011
ANDERSON, IN 46011
Provider Phone Number
(765) 644-2888
Provider SSA County
470
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
216
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF ANDERSON IN LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
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
2.00448
Reported LPN Staffing Hours per Resident per Day
1.16310
Reported RN Staffing Hours per Resident per Day
0.65931
Reported Licensed Staffing Hours per Resident per Day
1.82241
Reported Total Nurse Staffing Hours per Resident per Day
3.82689
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05966
Expected CNA Staffing Hours per Resident per Day
2.41068
Expected LPN Staffing Hours per Resident per Day
0.66525
Expected RN Staffing Hours per Resident per Day
1.04174
Expected Total Nurse Staffing Hours per Resident per Day
4.11767
Adjusted CNA Staffing Hours per Resident per Day
2.04025
Adjusted LPN Staffing Hours per Resident per Day
1.45115
Adjusted RN Staffing Hours per Resident per Day
0.47290
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74625
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
17
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
201
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
201
Total Weighted Health Survey Score
116.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
32
Number of Fines
1
Total Amount of Fines in Dollars
2633
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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