Indiana Nursing Homes >> Albion Nursing Homes >> North Ridge Village Nursing & Rehab Center

North Ridge Village Nursing & Rehab Center - Albion Nursing Home

General Information

UPDATE
Federal Provider Number
155763
Provider Name
NORTH RIDGE VILLAGE NURSING & REHAB CENTER
Provider Address
600 TRAIL RIDGE RD
ALBION, IN 46701
Provider Phone Number
2606361000
Provider SSA County
560
Provider County Name
Noble
Ownership Type
Non profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2007-04-12
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08137
Reported LPN Staffing Hours per Resident per Day
0.97059
Reported RN Staffing Hours per Resident per Day
0.71765
Reported Licensed Staffing Hours per Resident per Day
1.68824
Reported Total Nurse Staffing Hours per Resident per Day
3.76961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.39992
Expected LPN Staffing Hours per Resident per Day
0.63991
Expected RN Staffing Hours per Resident per Day
1.15999
Expected Total Nurse Staffing Hours per Resident per Day
4.19981
Adjusted CNA Staffing Hours per Resident per Day
2.12802
Adjusted LPN Staffing Hours per Resident per Day
1.25892
Adjusted RN Staffing Hours per Resident per Day
0.46227
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61800
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-31
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
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-02-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3965
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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