Overall Rating
SFF Candidate
Address
45 Beachway Dr
Indianapolis, IN 46224
Contact
3172433721
Certification Date
1968-07-02
CMS Certification Number
155077
Ownership Type
For profit - Corporation
Number of Certified Beds
184
Average Number of Residents per Day
101.0
Provider Type
Medicare and Medicaid
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Affiliated Entity Name
ENVIVE HEALTHCARE
Affiliated Entity ID
204
Health Inspection Rating
1
Quality Measure Rating
2
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.32540
Reported LPN Staffing Hours per Resident per Day
0.41891
Reported RN Staffing Hours per Resident per Day
0.66541
Reported Total Nurse Staffing Hours per Resident per Day
3.40971
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.30846
Registered Nurse Hours per Resident per Day on the Weekend
0.55103
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
1
Total Weighted Health Survey Score
193.333
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
31
Number of Citations from Infection Control Inspections
4
Standard Health Survey Date
2024-01-11
Total Number of Health Deficiencies
18
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
4
Health Deficiency Score
100
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
100
Standard Health Survey Date
2022-09-20
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
18
Number of Complaint Health Deficiencies
7
Health Deficiency Score
316
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
316
Standard Health Survey Date
2021-07-16
Total Number of Health Deficiencies
23
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
18
Health Deficiency Score
228
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
228
Number of Fines
5
Total Amount of Fines in Dollars
115295.14
Number of Payment Denials
2
Total Number of Penalties
7