Rural Health Care Center - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155807
Provider Name
RURAL HEALTH CARE CENTER
Provider Address
1747 N RURAL ST
INDIANAPOLIS, IN 46218
INDIANAPOLIS, IN 46218
Provider Phone Number
(317) 635-1355
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
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
2013-03-22
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.55667
Reported LPN Staffing Hours per Resident per Day
0.53667
Reported RN Staffing Hours per Resident per Day
0.51556
Reported Licensed Staffing Hours per Resident per Day
1.05222
Reported Total Nurse Staffing Hours per Resident per Day
2.60890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.12960
Expected LPN Staffing Hours per Resident per Day
0.65559
Expected RN Staffing Hours per Resident per Day
1.22377
Expected Total Nurse Staffing Hours per Resident per Day
4.00895
Adjusted CNA Staffing Hours per Resident per Day
1.79358
Adjusted LPN Staffing Hours per Resident per Day
0.67944
Adjusted RN Staffing Hours per Resident per Day
0.31479
Adjusted Total Nurse Staffing Hours per Resident per Day
2.62318
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
28
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
30.40000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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