Signature Healthcare Of Muncie - Muncie Nursing Home
General Information
UPDATEFederal Provider Number
155242
Provider Name
SIGNATURE HEALTHCARE OF MUNCIE
Provider Address
4301 N WALNUT ST
MUNCIE, IN 47303
MUNCIE, IN 47303
Provider Phone Number
(765) 282-0053
Provider SSA County
170
Provider County Name
Delaware
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
185
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.05875
Reported LPN Staffing Hours per Resident per Day
1.08583
Reported RN Staffing Hours per Resident per Day
1.02750
Reported Licensed Staffing Hours per Resident per Day
2.11333
Reported Total Nurse Staffing Hours per Resident per Day
4.17208
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00167
Expected CNA Staffing Hours per Resident per Day
2.68881
Expected LPN Staffing Hours per Resident per Day
0.82684
Expected RN Staffing Hours per Resident per Day
1.37992
Expected Total Nurse Staffing Hours per Resident per Day
4.89556
Adjusted CNA Staffing Hours per Resident per Day
1.87873
Adjusted LPN Staffing Hours per Resident per Day
1.08998
Adjusted RN Staffing Hours per Resident per Day
0.55637
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43520
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
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
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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