Vermillion Convalescent Center - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
155124
Provider Name
VERMILLION CONVALESCENT CENTER
Provider Address
1705 S MAIN ST
CLINTON, IN 47842
CLINTON, IN 47842
Provider Phone Number
(765) 832-3573
Provider SSA County
820
Provider County Name
Vermillion
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
119
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1977-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.87469
Reported LPN Staffing Hours per Resident per Day
0.85185
Reported RN Staffing Hours per Resident per Day
0.83148
Reported Licensed Staffing Hours per Resident per Day
1.68333
Reported Total Nurse Staffing Hours per Resident per Day
4.55802
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.40320
Expected LPN Staffing Hours per Resident per Day
0.64567
Expected RN Staffing Hours per Resident per Day
1.12401
Expected Total Nurse Staffing Hours per Resident per Day
4.17288
Adjusted CNA Staffing Hours per Resident per Day
2.93510
Adjusted LPN Staffing Hours per Resident per Day
1.09504
Adjusted RN Staffing Hours per Resident per Day
0.55273
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40293
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
26.66700
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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Nursiong Homes Nearby
Clinton Gardens
375 S 11th St |
CLINTON IN 47842 | 1.3 miles away