Stonebridge Health Campus - Bedford Nursing Home
General Information
UPDATEFederal Provider Number
155727
Provider Name
STONEBRIDGE HEALTH CAMPUS
Provider Address
3100 SHAWNEE DR S
BEDFORD, IN 47421
BEDFORD, IN 47421
Provider Phone Number
(812) 278-8195
Provider SSA County
460
Provider County Name
Lawrence
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
44
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
2004-02-10
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
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
0.95114
Reported LPN Staffing Hours per Resident per Day
1.76477
Reported RN Staffing Hours per Resident per Day
0.85227
Reported Licensed Staffing Hours per Resident per Day
2.61705
Reported Total Nurse Staffing Hours per Resident per Day
3.56818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13295
Expected CNA Staffing Hours per Resident per Day
2.43010
Expected LPN Staffing Hours per Resident per Day
0.66434
Expected RN Staffing Hours per Resident per Day
1.12648
Expected Total Nurse Staffing Hours per Resident per Day
4.22092
Adjusted CNA Staffing Hours per Resident per Day
0.96038
Adjusted LPN Staffing Hours per Resident per Day
2.20482
Adjusted RN Staffing Hours per Resident per Day
0.56532
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40755
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
38.66700
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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