Countryside Manor Health & Living Community
Countryside Manor Health & Living Community Information
| Facility Name | Countryside Manor Health & Living Community |
| Location | 205 Marine Dr, Anderson, IN 46016 |
| County (SSA Code) | Madison (470) |
| Phone Number | 765-649-4558 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 109 |
| Average Number of Residents | 72.4 |
| 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 | RIVERVIEW HOSPITAL |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1985-04-03 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.02676 |
| Reported LPN Staffing Hours per Resident per Day | 0.74516 |
| Reported RN Staffing - Hours per Resident per Day | 0.56674 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.31191 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33866 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.1127 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.11211 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79608 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.4081 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.31628 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.2097 |
| Total Weighted Health Survey Score for three cycles | 76 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-19 |
| Rating cycle 1 - Health Deficiency Score | 17 |
| Rating cycle 1 - Total Health Inspection Score | 72 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-15 |
| Rating cycle 2 - Health Deficiency Score | 72 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-30 |
| Rating cycle 3 - Health Deficiency Score | 60 |
| Rating cycle 3 - Total Health Inspection Score | 60 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 26 |
| Number of Substantiated Complaints | 26 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |