Sheridan Rehabilitation And Healthcare Center - Sheridan Nursing Home
General Information
UPDATEFederal Provider Number
155376
Provider Name
SHERIDAN REHABILITATION AND HEALTHCARE CENTER
Provider Address
803 S HAMILTON ST
SHERIDAN, IN 46069
SHERIDAN, IN 46069
Provider Phone Number
3177584426
Provider SSA County
280
Provider County Name
Hamilton
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERIDAN INDIANA HEALTHCARE, LLC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.73028
Reported LPN Staffing Hours per Resident per Day
0.70704
Reported RN Staffing Hours per Resident per Day
0.56479
Reported Licensed Staffing Hours per Resident per Day
1.27183
Reported Total Nurse Staffing Hours per Resident per Day
3.00211
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11972
Expected CNA Staffing Hours per Resident per Day
2.38324
Expected LPN Staffing Hours per Resident per Day
0.65103
Expected RN Staffing Hours per Resident per Day
1.11126
Expected Total Nurse Staffing Hours per Resident per Day
4.14553
Adjusted CNA Staffing Hours per Resident per Day
1.78143
Adjusted LPN Staffing Hours per Resident per Day
0.90141
Adjusted RN Staffing Hours per Resident per Day
0.37976
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91910
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
22
Cycle 1 Health Deficiency Score
245
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
245
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-08-23
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
20
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-11-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
186.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
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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