Robert E Lee - New Albany Nursing Home
General Information
UPDATEFederal Provider Number
155616
Provider Name
ROBERT E LEE
Provider Address
201 E ELM ST
NEW ALBANY, IN 47150
NEW ALBANY, IN 47150
Provider Phone Number
(812) 945-9517
Provider SSA County
210
Provider County Name
Floyd
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
122
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1996-12-23
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13209
Reported LPN Staffing Hours per Resident per Day
0.95075
Reported RN Staffing Hours per Resident per Day
0.41493
Reported Licensed Staffing Hours per Resident per Day
1.36567
Reported Total Nurse Staffing Hours per Resident per Day
3.49777
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04254
Expected CNA Staffing Hours per Resident per Day
2.31363
Expected LPN Staffing Hours per Resident per Day
0.67139
Expected RN Staffing Hours per Resident per Day
1.31041
Expected Total Nurse Staffing Hours per Resident per Day
4.29543
Adjusted CNA Staffing Hours per Resident per Day
2.26117
Adjusted LPN Staffing Hours per Resident per Day
1.17535
Adjusted RN Staffing Hours per Resident per Day
0.23659
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28236
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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