Meadow Lakes - Mooresville Nursing Home
General Information
UPDATEFederal Provider Number
155751
Provider Name
MEADOW LAKES
Provider Address
200 MEADOW LAKE DR
MOORESVILLE, IN 46158
MOORESVILLE, IN 46158
Provider Phone Number
(317) 834-1791
Provider SSA County
540
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
137
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2006-03-22
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
3
Health Inspection Rating Footnote
QM Rating
5
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
3.13750
Reported LPN Staffing Hours per Resident per Day
1.08226
Reported RN Staffing Hours per Resident per Day
2.31008
Reported Licensed Staffing Hours per Resident per Day
3.39234
Reported Total Nurse Staffing Hours per Resident per Day
6.52984
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25927
Expected CNA Staffing Hours per Resident per Day
2.80888
Expected LPN Staffing Hours per Resident per Day
0.81909
Expected RN Staffing Hours per Resident per Day
1.40296
Expected Total Nurse Staffing Hours per Resident per Day
5.03092
Adjusted CNA Staffing Hours per Resident per Day
2.74077
Adjusted LPN Staffing Hours per Resident per Day
1.09668
Adjusted RN Staffing Hours per Resident per Day
1.23032
Adjusted Total Nurse Staffing Hours per Resident per Day
5.23187
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-11-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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