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GREENWOOD VILLAGE SOUTH

Overall Rating

Address

295 Village Lane

Greenwood, IN 46143

Contact

3178594444

Certification Date

1969-08-05

Details

CMS Certification Number

155026

Ownership Type

Non profit - Corporation

Number of Certified Beds

137

Average Number of Residents per Day

119.6

Provider Type

Medicare and Medicaid

Legal Business Name

JOHNSON MEMORIAL HOSPITAL

Affiliated Entity Name

LIFE CARE SERVICES

Affiliated Entity ID

312

Ratings

Health Inspection Rating

5

Quality Measure Rating

5

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.66543

Reported LPN Staffing Hours per Resident per Day

0.77618

Reported RN Staffing Hours per Resident per Day

0.53712

Reported Total Nurse Staffing Hours per Resident per Day

3.97873

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.46845

Registered Nurse Hours per Resident per Day on the Weekend

0.32938

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06150

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

11.333

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-08-15

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

20

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

20

Rating Cycle 2

Standard Health Survey Date

2022-10-06

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

1

Health Deficiency Score

4

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

4

Rating Cycle 3

Standard Health Survey Date

2019-08-29

Total Number of Health Deficiencies

0

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

0

Health Deficiency Score

0

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

0

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0