Southern Indiana Rehab Hospital-pcu - New Albany Nursing Home
General Information
UPDATEFederal Provider Number
155765
Provider Name
SOUTHERN INDIANA REHAB HOSPITAL-PCU
Provider Address
3104 BLACKISTON BLVD PROGRESSIVE CARE UNIT
NEW ALBANY, IN 47150
NEW ALBANY, IN 47150
Provider Phone Number
(812) 941-8300
Provider SSA County
210
Provider County Name
Floyd
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
26
Number of Residents in Certified Beds
22
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SOUTHERN INDIANA REHABILITATION HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2007-08-03
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.27273
Reported LPN Staffing Hours per Resident per Day
2.69773
Reported RN Staffing Hours per Resident per Day
1.62955
Reported Licensed Staffing Hours per Resident per Day
4.32727
Reported Total Nurse Staffing Hours per Resident per Day
6.60001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.66136
Expected CNA Staffing Hours per Resident per Day
2.16334
Expected LPN Staffing Hours per Resident per Day
0.71508
Expected RN Staffing Hours per Resident per Day
1.59183
Expected Total Nurse Staffing Hours per Resident per Day
4.47026
Adjusted CNA Staffing Hours per Resident per Day
2.57777
Adjusted LPN Staffing Hours per Resident per Day
3.13128
Adjusted RN Staffing Hours per Resident per Day
0.76490
Adjusted Total Nurse Staffing Hours per Resident per Day
5.95133
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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