Mccormick's Creek Rehabilitation & Skilled Nursing - Spencer Nursing Home
General Information
UPDATEFederal Provider Number
155649
Provider Name
MCCORMICK'S CREEK REHABILITATION & SKILLED NURSING
Provider Address
210 STATE HWY 43
SPENCER, IN 47460
SPENCER, IN 47460
Provider Phone Number
8128293444
Provider SSA County
590
Provider County Name
Owen
Ownership Type
Government - City/county
Number of Certified Beds
87
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MCCORMICK, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.69533
Reported LPN Staffing Hours per Resident per Day
0.71533
Reported RN Staffing Hours per Resident per Day
0.71467
Reported Licensed Staffing Hours per Resident per Day
1.43000
Reported Total Nurse Staffing Hours per Resident per Day
3.12533
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03133
Expected CNA Staffing Hours per Resident per Day
2.49596
Expected LPN Staffing Hours per Resident per Day
0.68491
Expected RN Staffing Hours per Resident per Day
1.20980
Expected Total Nurse Staffing Hours per Resident per Day
4.39067
Adjusted CNA Staffing Hours per Resident per Day
1.66662
Adjusted LPN Staffing Hours per Resident per Day
0.86686
Adjusted RN Staffing Hours per Resident per Day
0.44140
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86924
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-08
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
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
28
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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
Nursiong Homes Nearby
Owen Valley Health Campus
920 W Hwy 46 |
SPENCER IN 47460 | 3.5 miles away
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