North Park Nursing Center - Evansville Nursing Home
General Information
UPDATEFederal Provider Number
155148
Provider Name
NORTH PARK NURSING CENTER
Provider Address
650 FAIRWAY DR
EVANSVILLE, IN 47710
EVANSVILLE, IN 47710
Provider Phone Number
(812) 425-5243
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
103
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1973-09-12
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
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
2.24362
Reported LPN Staffing Hours per Resident per Day
1.55266
Reported RN Staffing Hours per Resident per Day
1.25904
Reported Licensed Staffing Hours per Resident per Day
2.81170
Reported Total Nurse Staffing Hours per Resident per Day
5.05532
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03032
Expected CNA Staffing Hours per Resident per Day
2.85114
Expected LPN Staffing Hours per Resident per Day
0.83917
Expected RN Staffing Hours per Resident per Day
1.41620
Expected Total Nurse Staffing Hours per Resident per Day
5.10650
Adjusted CNA Staffing Hours per Resident per Day
1.93087
Adjusted LPN Staffing Hours per Resident per Day
1.53570
Adjusted RN Staffing Hours per Resident per Day
0.66428
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99050
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-04-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
78.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
8750
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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