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Plainfield Health Care Center - Plainfield Nursing Home

General Information

UPDATE
Federal Provider Number
155215
Provider Name
PLAINFIELD HEALTH CARE CENTER
Provider Address
3700 CLARKS CREEK RD
PLAINFIELD, IN 46168
Provider Phone Number
3178396577
Provider SSA County
310
Provider County Name
Hendricks
Ownership Type
Non profit - Corporation
Number of Certified Beds
189
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDRICKS COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-05-24
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
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
2.40115
Reported LPN Staffing Hours per Resident per Day
1.10575
Reported RN Staffing Hours per Resident per Day
0.58851
Reported Licensed Staffing Hours per Resident per Day
1.69425
Reported Total Nurse Staffing Hours per Resident per Day
4.09541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17011
Expected CNA Staffing Hours per Resident per Day
2.48649
Expected LPN Staffing Hours per Resident per Day
0.64945
Expected RN Staffing Hours per Resident per Day
1.03403
Expected Total Nurse Staffing Hours per Resident per Day
4.16997
Adjusted CNA Staffing Hours per Resident per Day
2.36949
Adjusted LPN Staffing Hours per Resident per Day
1.41315
Adjusted RN Staffing Hours per Resident per Day
0.42526
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95883
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-14
Cycle 1 Number of Health Revisits
0
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
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-02-21
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-12-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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