AMBER MANOR CARE CENTER Nursing Home

AMBER MANOR CARE CENTER Summary

Provider Name: AMBER MANOR CARE CENTER

Address: 801 E ILLINOIS ST, PETERSBURG, IN 47567

Phone: (812) 354-3001

County: Pike (620)

Ownership Type: For profit - Limited Liability company

Certified Beds: 64

Average Residents Per Day: 45.7 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: GOOD SAMARITAN HOSPITAL

First Approved Date: June 19, 1990

Affiliated Entity: TRILOGY HEALTH SERVICES (524)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 4 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 4 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.85453, LPN Staff Hours Per Day: 0.7709, RN Staff Hours Per Day: 0.8669, Licensed Staff Hours Per Day: 1.6378

Total Nurse Staff Hours Per Day, per resident: 3.49242

Weekend Nurse Staff Hours: 2.94824, Weekend RN Staff Hours: 0.4718

PT Staff Hours Per Day, per resident: 0.0728

Nurse Staff Turnover: 24.3, Nurse Turnover Note:

RN Turnover: 10.0, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 2.1851, Case Mix LPN Hours Per Day: 0.8088, Case Mix RN Hours Per Day: 0.3664

Adjusted Nurse Aide Hours Per Day, per resident: 1.72903, Adjusted LPN Hours Per Day: 0.7034, Adjusted RN Hours Per Day: 0.8915

Total Adjusted Nurse Hours Per Day, per resident: 3.27592

Adjusted Weekend Nurse Hours Per Day, per resident: 2.76547

Health Survey Dates and Scores: Cycle 1: 2022-12-15 (Score: 0), Cycle 2: 2020-02-17 (Score: 0), Cycle 3: 2019-01-22 (Score: 0)

Total Weighted Health Score: 0.000

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 801 E ILLINOIS ST,PETERSBURG,IN,47567 (38.4856, -87.274)

Process Date: 2024-03-01