Seymour Crossing - Seymour Nursing Home

General Information

UPDATE
Federal Provider Number
155377
Provider Name
SEYMOUR CROSSING
Provider Address
707 S JACKSON PARK DR
SEYMOUR, IN 47274
Provider Phone Number
8125222416
Provider SSA County
350
Provider County Name
Jackson
Ownership Type
Government - County
Number of Certified Beds
115
Number of Residents in Certified Beds
93
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
1991-05-09
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.08172
Reported LPN Staffing Hours per Resident per Day
1.15054
Reported RN Staffing Hours per Resident per Day
1.85054
Reported Licensed Staffing Hours per Resident per Day
3.00108
Reported Total Nurse Staffing Hours per Resident per Day
6.08280
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09731
Expected CNA Staffing Hours per Resident per Day
2.67220
Expected LPN Staffing Hours per Resident per Day
0.82297
Expected RN Staffing Hours per Resident per Day
1.44790
Expected Total Nurse Staffing Hours per Resident per Day
4.94307
Adjusted CNA Staffing Hours per Resident per Day
2.82973
Adjusted LPN Staffing Hours per Resident per Day
1.16037
Adjusted RN Staffing Hours per Resident per Day
0.95499
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96031
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-14
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
15
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
167
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
167
Total Weighted Health Survey Score
59.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
27
Number of Fines
3
Total Amount of Fines in Dollars
25758
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01

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