River Pointe Health Campus - Evansville Nursing Home
General Information
UPDATEFederal Provider Number
155723
Provider Name
RIVER POINTE HEALTH CAMPUS
Provider Address
3001 GALAXY DR
EVANSVILLE, IN 47715
EVANSVILLE, IN 47715
Provider Phone Number
(812) 475-2822
Provider SSA County
810
Provider County Name
Vanderburgh
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
60
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
2003-09-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.56833
Reported LPN Staffing Hours per Resident per Day
1.53083
Reported RN Staffing Hours per Resident per Day
0.88417
Reported Licensed Staffing Hours per Resident per Day
2.41500
Reported Total Nurse Staffing Hours per Resident per Day
4.98333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19083
Expected CNA Staffing Hours per Resident per Day
2.50965
Expected LPN Staffing Hours per Resident per Day
0.72860
Expected RN Staffing Hours per Resident per Day
1.32126
Expected Total Nurse Staffing Hours per Resident per Day
4.55952
Adjusted CNA Staffing Hours per Resident per Day
2.51107
Adjusted LPN Staffing Hours per Resident per Day
1.74387
Adjusted RN Staffing Hours per Resident per Day
0.50002
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40558
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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