Nursing Home

WESTMINSTER VILLAGE NORTH

Overall Rating

Address

11050 Presbyterian Dr

Indianapolis, IN 46236

Contact

3178236841

Certification Date

1974-03-31

Details

CMS Certification Number

155167

Ownership Type

Government - County

Number of Certified Beds

148

Average Number of Residents per Day

122.4

Provider Type

Medicare and Medicaid

Legal Business Name

HANCOCK REGIONAL HOSPITAL

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.13132

Reported LPN Staffing Hours per Resident per Day

1.07543

Reported RN Staffing Hours per Resident per Day

0.56192

Reported Total Nurse Staffing Hours per Resident per Day

4.76867

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

4.09398

Registered Nurse Hours per Resident per Day on the Weekend

0.33564

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02234

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

68.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

5

Number of Citations from Infection Control Inspections

3

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-03-24

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

9

Number of Complaint Health Deficiencies

0

Health Deficiency Score

40

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

40

Rating Cycle 2

Standard Health Survey Date

2020-03-04

Total Number of Health Deficiencies

19

Number of Standard Health Deficiencies

14

Number of Complaint Health Deficiencies

5

Health Deficiency Score

96

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

96

Rating Cycle 3

Standard Health Survey Date

2019-03-13

Total Number of Health Deficiencies

19

Number of Standard Health Deficiencies

15

Number of Complaint Health Deficiencies

1

Health Deficiency Score

100

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

100

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

20150.00

Number of Payment Denials

0

Total Number of Penalties

3