Signature Healthcare Of Newburgh - Newburgh Nursing Home
General Information
UPDATEFederal Provider Number
155670
Provider Name
SIGNATURE HEALTHCARE OF NEWBURGH
Provider Address
5233 ROSEBUD LN
NEWBURGH, IN 47630
NEWBURGH, IN 47630
Provider Phone Number
(812) 473-4761
Provider SSA County
860
Provider County Name
Warrick
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
104
Number of Residents in Certified Beds
96
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
1999-11-23
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
1.90417
Reported LPN Staffing Hours per Resident per Day
0.85104
Reported RN Staffing Hours per Resident per Day
0.84896
Reported Licensed Staffing Hours per Resident per Day
1.70000
Reported Total Nurse Staffing Hours per Resident per Day
3.60417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17760
Expected CNA Staffing Hours per Resident per Day
2.62098
Expected LPN Staffing Hours per Resident per Day
0.69317
Expected RN Staffing Hours per Resident per Day
1.25058
Expected Total Nurse Staffing Hours per Resident per Day
4.56473
Adjusted CNA Staffing Hours per Resident per Day
1.78264
Adjusted LPN Staffing Hours per Resident per Day
1.01904
Adjusted RN Staffing Hours per Resident per Day
0.50724
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18268
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
20
Cycle 1 Standard Survey Health Date
2014-11-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
3185
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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