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WELLBROOKE OF AVON

Overall Rating

Address

10307 E County Rd 100 N,

Indianapolis, IN 46234

Contact

3172732144

Certification Date

2013-10-23

Details

CMS Certification Number

155811

Ownership Type

Non profit - Other

Number of Certified Beds

70

Average Number of Residents per Day

45.9

Provider Type

Medicare and Medicaid

Legal Business Name

PUTNAM COUNTY HOSPITAL

Affiliated Entity Name

TRILOGY HEALTH SERVICES

Affiliated Entity ID

524

Ratings

Health Inspection Rating

2

Quality Measure Rating

5

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.26951

Reported LPN Staffing Hours per Resident per Day

0.33165

Reported RN Staffing Hours per Resident per Day

1.35653

Reported Total Nurse Staffing Hours per Resident per Day

3.95769

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

3.37764

Registered Nurse Hours per Resident per Day on the Weekend

1.09014

Reported Physical Therapist Staffing Hours per Resident Per Day

0.10242

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

58.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

5

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2024-02-02

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

1

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2022-10-25

Total Number of Health Deficiencies

14

Number of Standard Health Deficiencies

14

Number of Complaint Health Deficiencies

2

Health Deficiency Score

112

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

112

Rating Cycle 3

Standard Health Survey Date

2020-02-11

Total Number of Health Deficiencies

9

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

2

Health Deficiency Score

44

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

44

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

9750.00

Number of Payment Denials

0

Total Number of Penalties

1