Timbers Of Jasper The - Jasper Nursing Home

General Information

UPDATE
Federal Provider Number
155478
Provider Name
TIMBERS OF JASPER THE
Provider Address
2909 HOWARD DR
JASPER, IN 47546
Provider Phone Number
(812) 482-6161
Provider SSA County
180
Provider County Name
Dubois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
80
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
1993-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.93063
Reported LPN Staffing Hours per Resident per Day
1.10375
Reported RN Staffing Hours per Resident per Day
1.18438
Reported Licensed Staffing Hours per Resident per Day
2.28813
Reported Total Nurse Staffing Hours per Resident per Day
5.21876
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06500
Expected CNA Staffing Hours per Resident per Day
2.84858
Expected LPN Staffing Hours per Resident per Day
0.75373
Expected RN Staffing Hours per Resident per Day
1.14100
Expected Total Nurse Staffing Hours per Resident per Day
4.74331
Adjusted CNA Staffing Hours per Resident per Day
2.52437
Adjusted LPN Staffing Hours per Resident per Day
1.21543
Adjusted RN Staffing Hours per Resident per Day
0.77561
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43494
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
5558
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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