Shady Nook Care Center - Lawrenceburg Nursing Home
General Information
UPDATEFederal Provider Number
155525
Provider Name
SHADY NOOK CARE CENTER
Provider Address
36 VALLEY DR
LAWRENCEBURG, IN 47025
LAWRENCEBURG, IN 47025
Provider Phone Number
(812) 537-0930
Provider SSA County
140
Provider County Name
Dearborn
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
94
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-05-09
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
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
1.79180
Reported LPN Staffing Hours per Resident per Day
1.18689
Reported RN Staffing Hours per Resident per Day
0.96230
Reported Licensed Staffing Hours per Resident per Day
2.14918
Reported Total Nurse Staffing Hours per Resident per Day
3.94099
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09016
Expected CNA Staffing Hours per Resident per Day
2.41976
Expected LPN Staffing Hours per Resident per Day
0.68827
Expected RN Staffing Hours per Resident per Day
1.23134
Expected Total Nurse Staffing Hours per Resident per Day
4.33937
Adjusted CNA Staffing Hours per Resident per Day
1.81693
Adjusted LPN Staffing Hours per Resident per Day
1.43130
Adjusted RN Staffing Hours per Resident per Day
0.58394
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66084
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-22
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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