Overall Rating
Address
2325 S Miller St
Shelbyville, IN 46176
Contact
3173923287
Certification Date
1974-03-31
CMS Certification Number
15A011
Ownership Type
Government - City/county
Number of Certified Beds
130
Average Number of Residents per Day
123.5
Provider Type
Medicaid
Legal Business Name
Legal Business Name Not Available
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
3
Quality Measure Rating
5
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.52448
Reported LPN Staffing Hours per Resident per Day
1.35781
Reported RN Staffing Hours per Resident per Day
0.40839
Reported Total Nurse Staffing Hours per Resident per Day
4.29068
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.93900
Registered Nurse Hours per Resident per Day on the Weekend
0.26949
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00373
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
29.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-11-03
Total Number of Health Deficiencies
5
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
1
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Standard Health Survey Date
2019-08-27
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
0
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2018-07-25
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
1
Health Deficiency Score
44
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
44
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0