Miller's Senior Living Community - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155271
Provider Name
MILLER'S SENIOR LIVING COMMUNITY
Provider Address
8400 CLEARVISTA PL
INDIANAPOLIS, IN 46256
INDIANAPOLIS, IN 46256
Provider Phone Number
3178450464
Provider SSA County
480
Provider County Name
Marion
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-11-12
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
1.94079
Reported LPN Staffing Hours per Resident per Day
1.13092
Reported RN Staffing Hours per Resident per Day
1.08355
Reported Licensed Staffing Hours per Resident per Day
2.21447
Reported Total Nurse Staffing Hours per Resident per Day
4.15526
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11645
Expected CNA Staffing Hours per Resident per Day
2.44344
Expected LPN Staffing Hours per Resident per Day
0.68071
Expected RN Staffing Hours per Resident per Day
1.17784
Expected Total Nurse Staffing Hours per Resident per Day
4.30199
Adjusted CNA Staffing Hours per Resident per Day
1.94894
Adjusted LPN Staffing Hours per Resident per Day
1.37895
Adjusted RN Staffing Hours per Resident per Day
0.68738
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89342
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-26
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
37.33300
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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