Mitchell Manor - Mitchell Nursing Home

General Information

UPDATE
Federal Provider Number
155324
Provider Name
MITCHELL MANOR
Provider Address
24 TEKE BURTON DR
MITCHELL, IN 47446
Provider Phone Number
8128492221
Provider SSA County
460
Provider County Name
Lawrence
Ownership Type
For profit - Corporation
Number of Certified Beds
171
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MITCHELL MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-09-11
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.79746
Reported LPN Staffing Hours per Resident per Day
0.87203
Reported RN Staffing Hours per Resident per Day
0.96186
Reported Licensed Staffing Hours per Resident per Day
1.83390
Reported Total Nurse Staffing Hours per Resident per Day
3.63135
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18136
Expected CNA Staffing Hours per Resident per Day
2.60408
Expected LPN Staffing Hours per Resident per Day
0.69302
Expected RN Staffing Hours per Resident per Day
1.24770
Expected Total Nurse Staffing Hours per Resident per Day
4.54481
Adjusted CNA Staffing Hours per Resident per Day
1.69366
Adjusted LPN Staffing Hours per Resident per Day
1.04439
Adjusted RN Staffing Hours per Resident per Day
0.57602
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22073
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-11
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-18
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.00000
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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