Middletown Nursing And Rehabilitation Center - Middletown Nursing Home
General Information
UPDATEFederal Provider Number
155486
Provider Name
MIDDLETOWN NURSING AND REHABILITATION CENTER
Provider Address
131 S 10TH ST
MIDDLETOWN, IN 47356
MIDDLETOWN, IN 47356
Provider Phone Number
(765) 354-2223
Provider SSA County
320
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOORE HEALTHCARE ENTERPRISES
Date First Approved to Provide Medicare and Medicaid services
1993-05-01
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.39444
Reported LPN Staffing Hours per Resident per Day
0.85741
Reported RN Staffing Hours per Resident per Day
1.01481
Reported Licensed Staffing Hours per Resident per Day
1.87222
Reported Total Nurse Staffing Hours per Resident per Day
4.26666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05741
Expected CNA Staffing Hours per Resident per Day
2.41420
Expected LPN Staffing Hours per Resident per Day
0.62709
Expected RN Staffing Hours per Resident per Day
1.06352
Expected Total Nurse Staffing Hours per Resident per Day
4.10481
Adjusted CNA Staffing Hours per Resident per Day
2.43362
Adjusted LPN Staffing Hours per Resident per Day
1.13485
Adjusted RN Staffing Hours per Resident per Day
0.71298
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18984
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
16
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-15
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
362
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
362
Total Weighted Health Survey Score
73.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
21053
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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