Nursing Home

EVERGREEN CROSSING AND THE LOFTS

Overall Rating

SFF Candidate

Address

5404 Georgetown Road

Indianapolis, IN 46254

Contact

3172915404

Certification Date

2014-12-11

Details

CMS Certification Number

155826

Ownership Type

For profit - Corporation

Number of Certified Beds

109

Average Number of Residents per Day

96.5

Provider Type

Medicare and Medicaid

Legal Business Name

HANCOCK REGIONAL HOSPITAL

Affiliated Entity Name

COMMUNICARE HEALTH

Affiliated Entity ID

153

Ratings

Health Inspection Rating

1

Quality Measure Rating

5

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.17155

Reported LPN Staffing Hours per Resident per Day

0.91570

Reported RN Staffing Hours per Resident per Day

0.46848

Reported Total Nurse Staffing Hours per Resident per Day

3.55573

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

3.05779

Registered Nurse Hours per Resident per Day on the Weekend

0.28750

Reported Physical Therapist Staffing Hours per Resident Per Day

0.08818

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

194.667

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

22

Number of Citations from Infection Control Inspections

6

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-15

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

2

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2023-07-31

Total Number of Health Deficiencies

11

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

4

Health Deficiency Score

190

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

190

Rating Cycle 3

Standard Health Survey Date

2023-02-03

Total Number of Health Deficiencies

23

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

17

Health Deficiency Score

469

Number of Health Revisits

2

Health Revisit Score

235

Total Health Score

704

Penalties

Number of Fines

6

Total Amount of Fines in Dollars

481323.00

Number of Payment Denials

2

Total Number of Penalties

8