Marion Rehabilitation And Assisted Living Center - Marion Nursing Home
General Information
UPDATEFederal Provider Number
155799
Provider Name
MARION REHABILITATION AND ASSISTED LIVING CENTER
Provider Address
614 WEST 14TH STREET
MARION, IN 46953
MARION, IN 46953
Provider Phone Number
(765) 662-3701
Provider SSA County
260
Provider County Name
Grant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MARION, LLC
Date First Approved to Provide Medicare and Medicaid services
2012-08-13
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.81277
Reported LPN Staffing Hours per Resident per Day
1.27021
Reported RN Staffing Hours per Resident per Day
2.32979
Reported Licensed Staffing Hours per Resident per Day
3.60000
Reported Total Nurse Staffing Hours per Resident per Day
6.41277
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36809
Expected CNA Staffing Hours per Resident per Day
2.49356
Expected LPN Staffing Hours per Resident per Day
0.77919
Expected RN Staffing Hours per Resident per Day
1.44593
Expected Total Nurse Staffing Hours per Resident per Day
4.71868
Adjusted CNA Staffing Hours per Resident per Day
2.76781
Adjusted LPN Staffing Hours per Resident per Day
1.35304
Adjusted RN Staffing Hours per Resident per Day
1.20394
Adjusted Total Nurse Staffing Hours per Resident per Day
5.47806
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-01-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
234
Cycle 2 Standard Health Survey Date
2013-11-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
234
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
120.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
17350
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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