Overall Rating
Address
363 South Fieldstone Blvd
Bloomington, IN 47403
Contact
8128250551
Certification Date
2015-08-06
CMS Certification Number
155838
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Average Number of Residents per Day
46.0
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
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.44683
Reported LPN Staffing Hours per Resident per Day
0.62095
Reported RN Staffing Hours per Resident per Day
0.94986
Reported Total Nurse Staffing Hours per Resident per Day
4.01764
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.96605
Registered Nurse Hours per Resident per Day on the Weekend
0.49598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09607
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
20.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-06-21
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Standard Health Survey Date
2022-05-11
Total Number of Health Deficiencies
4
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2020-01-10
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0