Overall Rating
Address
3518 S Shelby St
Indianapolis, IN 46227
Contact
3177834042
Certification Date
1984-09-26
CMS Certification Number
155237
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Average Number of Residents per Day
91.1
Provider Type
Medicare and Medicaid
Legal Business Name
HENRY COUNTY MEMORIAL HOSPITAL
Affiliated Entity Name
AMERICAN SENIOR COMMUNITIES
Affiliated Entity ID
33
Health Inspection Rating
4
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.25028
Reported LPN Staffing Hours per Resident per Day
0.48544
Reported RN Staffing Hours per Resident per Day
0.35970
Reported Total Nurse Staffing Hours per Resident per Day
3.09543
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.67897
Registered Nurse Hours per Resident per Day on the Weekend
0.13814
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03273
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
22.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-09-29
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
3
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2022-08-11
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2021-10-08
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0