Transcendent Healthcare Of Boonville - North - Boonville Nursing Home
General Information
UPDATEFederal Provider Number
155801
Provider Name
TRANSCENDENT HEALTHCARE OF BOONVILLE - NORTH
Provider Address
305 E NORTH ST
BOONVILLE, IN 47601
BOONVILLE, IN 47601
Provider Phone Number
(812) 897-2810
Provider SSA County
860
Provider County Name
Warrick
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2012-10-30
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.14222
Reported LPN Staffing Hours per Resident per Day
0.61000
Reported RN Staffing Hours per Resident per Day
0.48222
Reported Licensed Staffing Hours per Resident per Day
1.09222
Reported Total Nurse Staffing Hours per Resident per Day
3.23444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03000
Expected CNA Staffing Hours per Resident per Day
2.51353
Expected LPN Staffing Hours per Resident per Day
0.57918
Expected RN Staffing Hours per Resident per Day
0.90299
Expected Total Nurse Staffing Hours per Resident per Day
3.99570
Adjusted CNA Staffing Hours per Resident per Day
2.09123
Adjusted LPN Staffing Hours per Resident per Day
0.87417
Adjusted RN Staffing Hours per Resident per Day
0.39902
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26294
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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