River Oaks Health Campus - Princeton Nursing Home
General Information
UPDATEFederal Provider Number
155732
Provider Name
RIVER OAKS HEALTH CAMPUS
Provider Address
1244 VAIL ST
PRINCETON, IN 47670
PRINCETON, IN 47670
Provider Phone Number
(812) 385-0794
Provider SSA County
250
Provider County Name
Gibson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SAMARITAN HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2004-08-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
None
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01393
Reported LPN Staffing Hours per Resident per Day
0.79590
Reported RN Staffing Hours per Resident per Day
0.97869
Reported Licensed Staffing Hours per Resident per Day
1.77459
Reported Total Nurse Staffing Hours per Resident per Day
3.78852
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08197
Expected CNA Staffing Hours per Resident per Day
2.54333
Expected LPN Staffing Hours per Resident per Day
0.70081
Expected RN Staffing Hours per Resident per Day
1.21759
Expected Total Nurse Staffing Hours per Resident per Day
4.46174
Adjusted CNA Staffing Hours per Resident per Day
1.94295
Adjusted LPN Staffing Hours per Resident per Day
0.94262
Adjusted RN Staffing Hours per Resident per Day
0.60059
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42269
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
68.00000
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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