Countryside Meadows
Countryside Meadows Information
| Facility Name | Countryside Meadows |
| Location | 762 N Dan Jones Rd, Avon, IN 46123 |
| County (SSA Code) | Hendricks (310) |
| Phone Number | 317-495-7200 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 171 |
| Average Number of Residents | 116.5 |
| 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 | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2011-07-11 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.09323 |
| Reported LPN Staffing Hours per Resident per Day | 1.27616 |
| Reported RN Staffing - Hours per Resident per Day | 0.39809 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.67425 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.76747 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.15436 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.3814 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.86164 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.44181 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.68485 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.25967 |
| Total Weighted Health Survey Score for three cycles | 66.833 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-06 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-05 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-21 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 4 |
| Number of Substantiated Complaints | 11 |
| Number of Substantiated Complaints | 11 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 11278 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |