Meadow Brook Rehabilitation Centre & Suites - Anderson Nursing Home
General Information
UPDATEFederal Provider Number
155690
Provider Name
MEADOW BROOK REHABILITATION CENTRE & SUITES
Provider Address
1821 LINDBERG RD
ANDERSON, IN 46012
ANDERSON, IN 46012
Provider Phone Number
(765) 649-2532
Provider SSA County
470
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
97
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2001-05-11
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
3.36556
Reported LPN Staffing Hours per Resident per Day
1.93889
Reported RN Staffing Hours per Resident per Day
1.10556
Reported Licensed Staffing Hours per Resident per Day
3.04444
Reported Total Nurse Staffing Hours per Resident per Day
6.41001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12667
Expected CNA Staffing Hours per Resident per Day
2.39139
Expected LPN Staffing Hours per Resident per Day
0.72780
Expected RN Staffing Hours per Resident per Day
1.20627
Expected Total Nurse Staffing Hours per Resident per Day
4.32546
Adjusted CNA Staffing Hours per Resident per Day
3.45325
Adjusted LPN Staffing Hours per Resident per Day
2.21116
Adjusted RN Staffing Hours per Resident per Day
0.68482
Adjusted Total Nurse Staffing Hours per Resident per Day
5.97350
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-02-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
30
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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