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NORTHWEST MANOR HEALTH CARE CENTER

Overall Rating

Address

6440 W 34th St

Indianapolis, IN 46224

Contact

3172934930

Certification Date

1967-01-12

Details

CMS Certification Number

155041

Ownership Type

Government - County

Number of Certified Beds

126

Average Number of Residents per Day

106.5

Provider Type

Medicare and Medicaid

Legal Business Name

ADAMS COUNTY MEMORIAL HOSPITAL

Affiliated Entity Name

ADAMS COUNTY MEMORIAL HOSPITAL

Affiliated Entity ID

10

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.32942

Reported LPN Staffing Hours per Resident per Day

1.01037

Reported RN Staffing Hours per Resident per Day

0.70106

Reported Total Nurse Staffing Hours per Resident per Day

4.04085

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

3.50031

Registered Nurse Hours per Resident per Day on the Weekend

0.68443

Reported Physical Therapist Staffing Hours per Resident Per Day

0.04566

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

52.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-01-20

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

0

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Rating Cycle 2

Standard Health Survey Date

2019-02-22

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

0

Health Deficiency Score

56

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

56

Rating Cycle 3

Standard Health Survey Date

2018-03-26

Total Number of Health Deficiencies

2

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

0

Health Deficiency Score

8

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

8

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0