Cloverleaf Of Knightsville
Cloverleaf Of Knightsville Information
| Facility Name | Cloverleaf Of Knightsville |
| Location | 9325 N Crawford St, Knightsville, IN 47857 |
| County (SSA Code) | Clay (100) |
| Phone Number | 812-446-2309 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 102 |
| Average Number of Residents | 78.5 |
| 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 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Ownership Type | Non profit - Other |
| Date First Approved | 1994-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.17097 |
| Reported LPN Staffing Hours per Resident per Day | 0.62573 |
| Reported RN Staffing - Hours per Resident per Day | 0.81238 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.43811 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.60908 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05688 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19019 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.84845 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.43081 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.46946 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.31649 |
| Total Weighted Health Survey Score for three cycles | 44 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-27 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-13 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-09-25 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 18343 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |