Overall Rating
Address
3043 North Lintel Drive
Bloomington, IN 47404
Contact
8123337622
Certification Date
2014-04-18
CMS Certification Number
155818
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Average Number of Residents per Day
49.9
Provider Type
Medicare and Medicaid
Legal Business Name
DAVIESS COUNTY HOSPITAL
Affiliated Entity Name
TRILOGY HEALTH SERVICES
Affiliated Entity ID
524
Health Inspection Rating
4
Quality Measure Rating
5
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.23584
Reported LPN Staffing Hours per Resident per Day
0.79025
Reported RN Staffing Hours per Resident per Day
0.59217
Reported Total Nurse Staffing Hours per Resident per Day
3.61827
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.20360
Registered Nurse Hours per Resident per Day on the Weekend
0.38747
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08111
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
21.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-02-21
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Standard Health Survey Date
2022-03-25
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-09-17
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
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0