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HOOSIER VILLAGE

Overall Rating

Address

9875 Cherryleaf Dr

Indianapolis, IN 46268

Contact

3178733349

Certification Date

1992-12-01

Details

CMS Certification Number

155472

Ownership Type

Non profit - Corporation

Number of Certified Beds

24

Average Number of Residents per Day

7.6

Provider Type

Medicare

Legal Business Name

BHI SENIOR LIVING, INC.

Affiliated Entity Name

BHI SENIOR LIVING

Affiliated Entity ID

80

Ratings

Health Inspection Rating

4

Quality Measure Rating

4

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.59634

Reported LPN Staffing Hours per Resident per Day

2.98443

Reported RN Staffing Hours per Resident per Day

2.78049

Reported Total Nurse Staffing Hours per Resident per Day

9.36126

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

6.82363

Registered Nurse Hours per Resident per Day on the Weekend

1.59328

Reported Physical Therapist Staffing Hours per Resident Per Day

0.36311

Quality Measures

Long-Stay Quality Measure Rating

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

25.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

1

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-12

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 2

Standard Health Survey Date

2022-02-25

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

Rating Cycle 3

Standard Health Survey Date

2019-04-11

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

1

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

650.00

Number of Payment Denials

0

Total Number of Penalties

1