Westminster Village North - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155167
Provider Name
WESTMINSTER VILLAGE NORTH
Provider Address
11050 PRESBYTERIAN DR
INDIANAPOLIS, IN 46236
INDIANAPOLIS, IN 46236
Provider Phone Number
3178236841
Provider SSA County
480
Provider County Name
Marion
Ownership Type
Government - County
Number of Certified Beds
148
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.41695
Reported LPN Staffing Hours per Resident per Day
1.37797
Reported RN Staffing Hours per Resident per Day
0.72415
Reported Licensed Staffing Hours per Resident per Day
2.10212
Reported Total Nurse Staffing Hours per Resident per Day
4.51907
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09746
Expected CNA Staffing Hours per Resident per Day
2.60284
Expected LPN Staffing Hours per Resident per Day
0.64248
Expected RN Staffing Hours per Resident per Day
1.03856
Expected Total Nurse Staffing Hours per Resident per Day
4.28388
Adjusted CNA Staffing Hours per Resident per Day
2.27846
Adjusted LPN Staffing Hours per Resident per Day
1.78015
Adjusted RN Staffing Hours per Resident per Day
0.52099
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25220
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-02
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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