Overall Rating
Address
120 E Miller Dr
Bloomington, IN 47401
Contact
8123361055
Certification Date
1994-09-30
CMS Certification Number
155532
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Average Number of Residents per Day
30.5
Provider Type
Medicare and Medicaid
Legal Business Name
DAVIESS COUNTY HOSPITAL
Affiliated Entity Name
CHOSEN HEALTHCARE
Affiliated Entity ID
141
Health Inspection Rating
1
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.61801
Reported LPN Staffing Hours per Resident per Day
0.29764
Reported RN Staffing Hours per Resident per Day
0.51751
Reported Total Nurse Staffing Hours per Resident per Day
2.43316
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
1.71108
Registered Nurse Hours per Resident per Day on the Weekend
0.32567
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01186
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
90.333
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-11-16
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
2
Health Deficiency Score
76
Number of Health Revisits
2
Health Revisit Score
38
Total Health Score
114
Standard Health Survey Date
2022-12-16
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
3
Health Deficiency Score
60
Number of Health Revisits
2
Health Revisit Score
30
Total Health Score
90
Standard Health Survey Date
2021-09-09
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
1
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Number of Fines
1
Total Amount of Fines in Dollars
655.01
Number of Payment Denials
0
Total Number of Penalties
1