Willow Manor
Willow Manor Information
| Facility Name | Willow Manor |
| Location | 3801 Old Bruceville Road, Box 136, Vincennes, IN 47591 |
| County (SSA Code) | Knox (410) |
| Phone Number | 812-882-1783 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 170 |
| Average Number of Residents | 128.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | DAVIESS COUNTY HOSPITAL |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1967-02-28 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.96798 |
| Reported LPN Staffing Hours per Resident per Day | 0.76392 |
| Reported RN Staffing - Hours per Resident per Day | 0.70624 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.47016 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.43813 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03877 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13019 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.81571 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.39478 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.34067 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.2812 |
| Total Weighted Health Survey Score for three cycles | 154 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-20 |
| Rating cycle 1 - Health Deficiency Score | 18 |
| Rating cycle 1 - Total Health Inspection Score | 168 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-09 |
| Rating cycle 2 - Health Deficiency Score | 112 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-12 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 11 |
| Number of Substantiated Complaints | 11 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |