Signature Healthcare Of Terre Haute - Terre Haute Nursing Home
General Information
UPDATEFederal Provider Number
155426
Provider Name
SIGNATURE HEALTHCARE OF TERRE HAUTE
Provider Address
3500 MAPLE AVE
TERRE HAUTE, IN 47804
TERRE HAUTE, IN 47804
Provider Phone Number
(812) 238-1555
Provider SSA County
830
Provider County Name
Vigo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
207
Number of Residents in Certified Beds
141
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
1992-01-10
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.10745
Reported LPN Staffing Hours per Resident per Day
0.71241
Reported RN Staffing Hours per Resident per Day
0.83440
Reported Licensed Staffing Hours per Resident per Day
1.54681
Reported Total Nurse Staffing Hours per Resident per Day
3.65426
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05674
Expected CNA Staffing Hours per Resident per Day
2.63827
Expected LPN Staffing Hours per Resident per Day
0.75921
Expected RN Staffing Hours per Resident per Day
1.25192
Expected Total Nurse Staffing Hours per Resident per Day
4.64940
Adjusted CNA Staffing Hours per Resident per Day
1.96002
Adjusted LPN Staffing Hours per Resident per Day
0.77884
Adjusted RN Staffing Hours per Resident per Day
0.49800
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16814
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-01-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
34.00000
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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