Riverview Village - Clarksville Nursing Home
General Information
UPDATEFederal Provider Number
155165
Provider Name
RIVERVIEW VILLAGE
Provider Address
586 EASTERN BLVD
CLARKSVILLE, IN 47129
CLARKSVILLE, IN 47129
Provider Phone Number
(812) 282-6663
Provider SSA County
90
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
130
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
4
QM Rating Footnote
Staffing Rating
2
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
2.15043
Reported LPN Staffing Hours per Resident per Day
0.96348
Reported RN Staffing Hours per Resident per Day
0.81957
Reported Licensed Staffing Hours per Resident per Day
1.78304
Reported Total Nurse Staffing Hours per Resident per Day
3.93348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05478
Expected CNA Staffing Hours per Resident per Day
2.71365
Expected LPN Staffing Hours per Resident per Day
0.77531
Expected RN Staffing Hours per Resident per Day
1.40009
Expected Total Nurse Staffing Hours per Resident per Day
4.88905
Adjusted CNA Staffing Hours per Resident per Day
1.94443
Adjusted LPN Staffing Hours per Resident per Day
1.03144
Adjusted RN Staffing Hours per Resident per Day
0.43739
Adjusted Total Nurse Staffing Hours per Resident per Day
3.24306
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
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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