Mcgivney Health Care Center - Carmel Nursing Home

General Information

UPDATE
Federal Provider Number
15E594
Provider Name
MCGIVNEY HEALTH CARE CENTER
Provider Address
2907 E 136TH ST
CARMEL, IN 46033
Provider Phone Number
(317) 846-0265
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
Non profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
32
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1987-02-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.67031
Reported LPN Staffing Hours per Resident per Day
0.99375
Reported RN Staffing Hours per Resident per Day
0.74531
Reported Licensed Staffing Hours per Resident per Day
1.73906
Reported Total Nurse Staffing Hours per Resident per Day
3.40937
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05313
Expected CNA Staffing Hours per Resident per Day
2.27027
Expected LPN Staffing Hours per Resident per Day
0.67599
Expected RN Staffing Hours per Resident per Day
1.12472
Expected Total Nurse Staffing Hours per Resident per Day
4.07099
Adjusted CNA Staffing Hours per Resident per Day
1.80526
Adjusted LPN Staffing Hours per Resident per Day
1.22015
Adjusted RN Staffing Hours per Resident per Day
0.49514
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37580
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-19
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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

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