Manorcare Health Services - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155247
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
8549 S MADISON AVE
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
Provider Phone Number
(317) 881-9164
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF INDY (SOUTH) IN LLC
Date First Approved to Provide Medicare and Medicaid services
1985-03-29
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
2
Health Inspection Rating Footnote
QM Rating
2
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
1.78010
Reported LPN Staffing Hours per Resident per Day
1.01165
Reported RN Staffing Hours per Resident per Day
0.68835
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
3.48010
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12864
Expected CNA Staffing Hours per Resident per Day
2.44838
Expected LPN Staffing Hours per Resident per Day
0.66655
Expected RN Staffing Hours per Resident per Day
1.14556
Expected Total Nurse Staffing Hours per Resident per Day
4.26049
Adjusted CNA Staffing Hours per Resident per Day
1.78397
Adjusted LPN Staffing Hours per Resident per Day
1.25973
Adjusted RN Staffing Hours per Resident per Day
0.44898
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29257
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-24
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
20
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
176
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
176
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
23
Number of Fines
1
Total Amount of Fines in Dollars
11830
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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