Sugar Creek Rehabilitation And Convalescent Center - Greenfield Nursing Home
General Information
UPDATEFederal Provider Number
155254
Provider Name
SUGAR CREEK REHABILITATION AND CONVALESCENT CENTER
Provider Address
5430 W US 40
GREENFIELD, IN 46140
GREENFIELD, IN 46140
Provider Phone Number
(317) 894-3301
Provider SSA County
290
Provider County Name
Hancock
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
60
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72979
Reported LPN Staffing Hours per Resident per Day
0.94362
Reported RN Staffing Hours per Resident per Day
0.58723
Reported Licensed Staffing Hours per Resident per Day
1.53085
Reported Total Nurse Staffing Hours per Resident per Day
3.26064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00745
Expected CNA Staffing Hours per Resident per Day
2.08415
Expected LPN Staffing Hours per Resident per Day
0.58516
Expected RN Staffing Hours per Resident per Day
0.97555
Expected Total Nurse Staffing Hours per Resident per Day
3.64486
Adjusted CNA Staffing Hours per Resident per Day
2.03651
Adjusted LPN Staffing Hours per Resident per Day
1.33845
Adjusted RN Staffing Hours per Resident per Day
0.44978
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60599
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-14
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
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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