Nursing Home

COVERED BRIDGE HEALTH CAMPUS

Overall Rating

Address

1675 W Tipton St

Seymour, IN 47274

Contact

8125236405

Certification Date

2002-10-01

Details

CMS Certification Number

155712

Ownership Type

Government - County

Number of Certified Beds

78

Average Number of Residents per Day

50.2

Provider Type

Medicare and Medicaid

Legal Business Name

JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL

Affiliated Entity Name

TRILOGY HEALTH SERVICES

Affiliated Entity ID

524

Ratings

Health Inspection Rating

4

Quality Measure Rating

5

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.98645

Reported LPN Staffing Hours per Resident per Day

0.29554

Reported RN Staffing Hours per Resident per Day

1.32892

Reported Total Nurse Staffing Hours per Resident per Day

3.61091

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

3.11179

Registered Nurse Hours per Resident per Day on the Weekend

0.89398

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05770

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

16.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-04

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 2

Standard Health Survey Date

2022-09-29

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

20

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

20

Rating Cycle 3

Standard Health Survey Date

2021-08-04

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

0

Health Deficiency Score

24

Number of Health Revisits

2

Health Revisit Score

12

Total Health Score

36

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

9750.00

Number of Payment Denials

0

Total Number of Penalties

1