Indiana Nursing Homes >> Evansville Nursing Homes >> Pine Haven Health And Rehabilitation Center

Pine Haven Health And Rehabilitation Center - Evansville Nursing Home

General Information

UPDATE
Federal Provider Number
155621
Provider Name
PINE HAVEN HEALTH AND REHABILITATION CENTER
Provider Address
3400 STOCKER DR
EVANSVILLE, IN 47720
Provider Phone Number
(812) 424-8100
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
113
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1997-04-04
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.03218
Reported LPN Staffing Hours per Resident per Day
0.95402
Reported RN Staffing Hours per Resident per Day
0.73448
Reported Licensed Staffing Hours per Resident per Day
1.68851
Reported Total Nurse Staffing Hours per Resident per Day
3.72068
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13851
Expected CNA Staffing Hours per Resident per Day
2.51748
Expected LPN Staffing Hours per Resident per Day
0.63299
Expected RN Staffing Hours per Resident per Day
1.02658
Expected Total Nurse Staffing Hours per Resident per Day
4.17705
Adjusted CNA Staffing Hours per Resident per Day
1.98070
Adjusted LPN Staffing Hours per Resident per Day
1.25095
Adjusted RN Staffing Hours per Resident per Day
0.53459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59050
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-02-21
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
8775
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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