Stratford Retirement Llc - Carmel Nursing Home

General Information

UPDATE
Federal Provider Number
155794
Provider Name
STRATFORD RETIREMENT LLC
Provider Address
2460 GLEBE ST
CARMEL, IN 46032
Provider Phone Number
(317) 733-9560
Provider SSA County
280
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
18
Number of Residents in Certified Beds
13
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
STRATFORD RETIREMENT, LLC
Date First Approved to Provide Medicare and Medicaid services
2012-01-04
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.76923
Reported LPN Staffing Hours per Resident per Day
1.97308
Reported RN Staffing Hours per Resident per Day
0.94231
Reported Licensed Staffing Hours per Resident per Day
2.91538
Reported Total Nurse Staffing Hours per Resident per Day
5.68462
Reported Physical Therapist Staffing Hours per Resident Per Day
0.88077
Expected CNA Staffing Hours per Resident per Day
2.54523
Expected LPN Staffing Hours per Resident per Day
0.69962
Expected RN Staffing Hours per Resident per Day
1.34948
Expected Total Nurse Staffing Hours per Resident per Day
4.59433
Adjusted CNA Staffing Hours per Resident per Day
2.66965
Adjusted LPN Staffing Hours per Resident per Day
2.34077
Adjusted RN Staffing Hours per Resident per Day
0.52175
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98748
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
10000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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