Paoli Health And Living Community - Paoli Nursing Home
General Information
UPDATEFederal Provider Number
155333
Provider Name
PAOLI HEALTH AND LIVING COMMUNITY
Provider Address
559 W LONGEST ST
PAOLI, IN 47454
PAOLI, IN 47454
Provider Phone Number
(812) 723-2595
Provider SSA County
580
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1989-06-12
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.32640
Reported LPN Staffing Hours per Resident per Day
0.71011
Reported RN Staffing Hours per Resident per Day
1.13090
Reported Licensed Staffing Hours per Resident per Day
1.84101
Reported Total Nurse Staffing Hours per Resident per Day
4.16741
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12865
Expected CNA Staffing Hours per Resident per Day
2.48002
Expected LPN Staffing Hours per Resident per Day
0.73953
Expected RN Staffing Hours per Resident per Day
1.33197
Expected Total Nurse Staffing Hours per Resident per Day
4.55151
Adjusted CNA Staffing Hours per Resident per Day
2.30171
Adjusted LPN Staffing Hours per Resident per Day
0.79699
Adjusted RN Staffing Hours per Resident per Day
0.63441
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69073
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
185
Cycle 3 Standard Health Survey Date
2012-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
185
Total Weighted Health Survey Score
69.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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