Indiana Nursing Homes >> Versailles Nursing Homes >> Silver Memories Health Care

Silver Memories Health Care - Versailles Nursing Home

General Information

UPDATE
Federal Provider Number
15E657
Provider Name
SILVER MEMORIES HEALTH CARE
Provider Address
6996 S US 421
VERSAILLES, IN 47042
Provider Phone Number
(812) 689-6222
Provider SSA County
680
Provider County Name
Ripley
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
29
Number of Residents in Certified Beds
20
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-06-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
2
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
2.30750
Reported LPN Staffing Hours per Resident per Day
0.65750
Reported RN Staffing Hours per Resident per Day
0.78500
Reported Licensed Staffing Hours per Resident per Day
1.44250
Reported Total Nurse Staffing Hours per Resident per Day
3.75000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.28811
Expected LPN Staffing Hours per Resident per Day
0.83746
Expected RN Staffing Hours per Resident per Day
1.10711
Expected Total Nurse Staffing Hours per Resident per Day
4.23268
Adjusted CNA Staffing Hours per Resident per Day
2.47449
Adjusted LPN Staffing Hours per Resident per Day
0.65164
Adjusted RN Staffing Hours per Resident per Day
0.52981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57123
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
131
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
66
Cycle 3 Total Health Score
197
Total Weighted Health Survey Score
84.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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