Overall Rating
Address
1635 N Arlington Ave
Indianapolis, IN 46218
Contact
3173536000
Certification Date
2014-03-27
CMS Certification Number
155816
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Average Number of Residents per Day
46.5
Provider Type
Medicare and Medicaid
Legal Business Name
WITHAM MEMORIAL HOSPITAL
Affiliated Entity Name
TRILOGY HEALTH SERVICES
Affiliated Entity ID
524
Health Inspection Rating
2
Quality Measure Rating
5
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.35047
Reported LPN Staffing Hours per Resident per Day
1.11716
Reported RN Staffing Hours per Resident per Day
0.55944
Reported Total Nurse Staffing Hours per Resident per Day
4.02707
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.28884
Registered Nurse Hours per Resident per Day on the Weekend
0.31896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07414
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
74.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-07-25
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
7
Health Deficiency Score
84
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
84
Standard Health Survey Date
2021-06-22
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
1
Health Revisit Score
0
Total Health Score
60
Standard Health Survey Date
2019-08-13
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
1
Health Deficiency Score
72
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
72
Number of Fines
1
Total Amount of Fines in Dollars
9750.00
Number of Payment Denials
1
Total Number of Penalties
2