Riverview Tcu - Noblesville Nursing Home

General Information

UPDATE
Federal Provider Number
155669
Provider Name
RIVERVIEW TCU
Provider Address
395 WESTFIELD RD TCU
NOBLESVILLE, IN 46060
Provider Phone Number
3177702870
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
Government - County
Number of Certified Beds
25
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1999-10-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.43125
Reported LPN Staffing Hours per Resident per Day
3.04688
Reported RN Staffing Hours per Resident per Day
1.37500
Reported Licensed Staffing Hours per Resident per Day
4.42188
Reported Total Nurse Staffing Hours per Resident per Day
6.85313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.75938
Expected CNA Staffing Hours per Resident per Day
2.54867
Expected LPN Staffing Hours per Resident per Day
0.90744
Expected RN Staffing Hours per Resident per Day
1.94593
Expected Total Nurse Staffing Hours per Resident per Day
5.40204
Adjusted CNA Staffing Hours per Resident per Day
2.34065
Adjusted LPN Staffing Hours per Resident per Day
2.78686
Adjusted RN Staffing Hours per Resident per Day
0.52797
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11367
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-27
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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