Owen Valley Health Campus - Spencer Nursing Home

General Information

UPDATE
Federal Provider Number
155661
Provider Name
OWEN VALLEY HEALTH CAMPUS
Provider Address
920 W HWY 46
SPENCER, IN 47460
Provider Phone Number
8128292331
Provider SSA County
590
Provider County Name
Owen
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF SPENCER, LLC
Date First Approved to Provide Medicare and Medicaid services
1999-04-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.50272
Reported LPN Staffing Hours per Resident per Day
0.78967
Reported RN Staffing Hours per Resident per Day
0.59565
Reported Licensed Staffing Hours per Resident per Day
1.38533
Reported Total Nurse Staffing Hours per Resident per Day
2.88804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07554
Expected CNA Staffing Hours per Resident per Day
2.37118
Expected LPN Staffing Hours per Resident per Day
0.63121
Expected RN Staffing Hours per Resident per Day
1.04432
Expected Total Nurse Staffing Hours per Resident per Day
4.04671
Adjusted CNA Staffing Hours per Resident per Day
1.55502
Adjusted LPN Staffing Hours per Resident per Day
1.03836
Adjusted RN Staffing Hours per Resident per Day
0.42618
Adjusted Total Nurse Staffing Hours per Resident per Day
2.87676
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
111
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
111
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-13
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
88.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
9978
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Mccormick's Creek Rehabilitation & Skilled Nursing

210 State Hwy 43 | SPENCER IN 47460 | 3.5 miles away

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