Manorcare Health Services - Prestwick - Avon Nursing Home
General Information
UPDATEFederal Provider Number
155338
Provider Name
MANORCARE HEALTH SERVICES - PRESTWICK
Provider Address
445 S CR 525 E
AVON, IN 46123
AVON, IN 46123
Provider Phone Number
(317) 745-2522
Provider SSA County
310
Provider County Name
Hendricks
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-PRESTWICK IN LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-07
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87299
Reported LPN Staffing Hours per Resident per Day
1.11264
Reported RN Staffing Hours per Resident per Day
0.98851
Reported Licensed Staffing Hours per Resident per Day
2.10115
Reported Total Nurse Staffing Hours per Resident per Day
3.97414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05230
Expected CNA Staffing Hours per Resident per Day
2.41482
Expected LPN Staffing Hours per Resident per Day
0.74012
Expected RN Staffing Hours per Resident per Day
1.13796
Expected Total Nurse Staffing Hours per Resident per Day
4.29290
Adjusted CNA Staffing Hours per Resident per Day
1.90314
Adjusted LPN Staffing Hours per Resident per Day
1.24776
Adjusted RN Staffing Hours per Resident per Day
0.64907
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73159
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-02-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
7800
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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