Zionsville Meadows - Zionsville Nursing Home

General Information

UPDATE
Federal Provider Number
155620
Provider Name
ZIONSVILLE MEADOWS
Provider Address
675 S FORD RD
ZIONSVILLE, IN 46077
Provider Phone Number
3178735205
Provider SSA County
50
Provider County Name
Boone
Ownership Type
Government - County
Number of Certified Beds
185
Number of Residents in Certified Beds
145
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
1997-05-01
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.86586
Reported LPN Staffing Hours per Resident per Day
0.79310
Reported RN Staffing Hours per Resident per Day
1.46862
Reported Licensed Staffing Hours per Resident per Day
2.26172
Reported Total Nurse Staffing Hours per Resident per Day
5.12758
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08069
Expected CNA Staffing Hours per Resident per Day
2.85771
Expected LPN Staffing Hours per Resident per Day
0.83820
Expected RN Staffing Hours per Resident per Day
1.39174
Expected Total Nurse Staffing Hours per Resident per Day
5.08764
Adjusted CNA Staffing Hours per Resident per Day
2.46070
Adjusted LPN Staffing Hours per Resident per Day
0.78535
Adjusted RN Staffing Hours per Resident per Day
0.78848
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06254
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-22
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
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
15
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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