Spring Mill Meadows - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155154
Provider Name
SPRING MILL MEADOWS
Provider Address
2140 W 86TH ST
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
Provider Phone Number
3178727211
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Non profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1974-03-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.24735
Reported LPN Staffing Hours per Resident per Day
0.97743
Reported RN Staffing Hours per Resident per Day
1.02080
Reported Licensed Staffing Hours per Resident per Day
1.99823
Reported Total Nurse Staffing Hours per Resident per Day
4.24558
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10354
Expected CNA Staffing Hours per Resident per Day
2.81837
Expected LPN Staffing Hours per Resident per Day
0.84673
Expected RN Staffing Hours per Resident per Day
1.45407
Expected Total Nurse Staffing Hours per Resident per Day
5.11916
Adjusted CNA Staffing Hours per Resident per Day
1.95657
Adjusted LPN Staffing Hours per Resident per Day
0.95812
Adjusted RN Staffing Hours per Resident per Day
0.52456
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34303
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-02
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
33
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
292
Cycle 2 Standard Health Survey Date
2013-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
122.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
32
Number of Fines
2
Total Amount of Fines in Dollars
64410
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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