Ripley Crossing - Milan Nursing Home
General Information
UPDATEFederal Provider Number
155730
Provider Name
RIPLEY CROSSING
Provider Address
1200 WHITLATCH WAY
MILAN, IN 47031
MILAN, IN 47031
Provider Phone Number
(812) 654-2231
Provider SSA County
680
Provider County Name
Ripley
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
95
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
2004-05-05
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00000
Reported LPN Staffing Hours per Resident per Day
1.02105
Reported RN Staffing Hours per Resident per Day
1.01632
Reported Licensed Staffing Hours per Resident per Day
2.03737
Reported Total Nurse Staffing Hours per Resident per Day
4.03737
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05263
Expected CNA Staffing Hours per Resident per Day
2.64962
Expected LPN Staffing Hours per Resident per Day
0.66387
Expected RN Staffing Hours per Resident per Day
1.00400
Expected Total Nurse Staffing Hours per Resident per Day
4.31749
Adjusted CNA Staffing Hours per Resident per Day
1.85211
Adjusted LPN Staffing Hours per Resident per Day
1.27657
Adjusted RN Staffing Hours per Resident per Day
0.75637
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76937
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-09-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
6000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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