Heritage House of Shelbyville
2309 S Miller St, Shelbyville, IN 46176


Heritage House of Shelbyville is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155022. The address is 2309 S Miller St, Shelbyville, IN 46176. The zip code is 46176. The phone number is 3173989781.


Heritage House of Shelbyville · 2309 S Miller St, Shelbyville, IN 46176

Federal Provider Number 155022
Provider Name HERITAGE HOUSE OF SHELBYVILLE
Address 2309 S MILLER ST
SHELBYVILLE, IN 46176
Phone Number 3173989781
SSA County Code 720
County Name Shelby
Ownership Type Government - City/county
Certified Beds 141
Certified Beds Residents 53
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MAJOR HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.33962
Reported LPN Staffing Hours per Resident per Day 0.98962
Reported RN Staffing Hours per Resident per Day 0.56038
Reported Licensed Staffing Hours per Resident per Day 1.55
Reported Total Nurse Staffing Hours per Resident per Day 3.88962
Reported Physical Therapist Staffing Hours per Resident Per Day 0.1
Expected CNA Staffing Hours per Resident per Day 2.46467
Expected LPN Staffing Hours per Resident per Day 0.65956
Expected RN Staffing Hours per Resident per Day 1.04726
Expected Total Nurse Staffing Hours per Resident per Day 4.17149
Adjusted CNA Staffing Hours per Resident per Day 2.32921
Adjusted LPN Staffing Hours per Resident per Day 1.24536
Adjusted RN Staffing Hours per Resident per Day 0.39982
Adjusted Total Nurse Staffing Hours per Resident per Day 3.75853
Cycle 1 Total Number of Health Deficiencies 15
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 11
Cycle 1 Health Deficiency Score 88
Cycle 1 Standard Survey Health Date 04/05/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 88
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 9
Cycle 2 Health Deficiency Score 147
Cycle 2 Standard Health Survey Date 03/03/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 147
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Number of Complaint Health Deficiencies 10
Cycle 3 Health Deficiency Score 116
Cycle 3 Standard Health Survey Date 12/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 116
Total Weighted Health Survey Score 112.333
Number of Facility Reported Incidents 7
Number of Substantiated Complaints 31
Number of Fines 3
Total Amount of Fines in Dollars $47192.00
Number of Payment Denials 0
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · Heritage House of Shelbyville

Owner Name Role Association Date
DEPREZ, PAMELA (Individual) MANAGING EMPLOYEE since 01/01/2012
HERITAGE HOUSE GROUP LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
HERITAGE HOUSE GROUP LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
HORNER, JOHN (Individual) OFFICER since 01/01/2012
MAJOR HOSPITAL (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
SHAW, TWYLA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/15/2014

46176 · Nursing Home

Especially Kidz Health & Rehab 2325 S Miller St, Shelbyville, IN 46176
Ashford Place Health Campus 2200 N Riley Hwy, Shelbyville, IN 46176

Shelbyville · Nursing Home

The Waters of Shelbyville, LLC 835 Union Street, Shelbyville, TN 37160
Shelbyville Manor 1111 West North 12th Street, Shelbyville, IL 62565
Crestview Center 1871 Midland Trail, Shelbyville, KY 40065
Glen Oaks Health and Rehabilitation 1101 Glen Oaks Road, Shelbyville, TN 37160
Shelbyville Rehab & Hlth C Ctr 2116 South 3rd Dacey Drive, Shelbyville, IL 62565
Especially Kidz Health & Rehab 2325 S Miller St, Shelbyville, IN 46176
Masonic Home of Shelbyville 711 Frankfort Road, Shelbyville, KY 40066
Ashford Place Health Campus 2200 N Riley Hwy, Shelbyville, IN 46176

IN · Nursing Home

Waters of Greencastle, The 1601 Hospital Dr, Greencastle, IN 46135
Morningside Nursing and Memory Care Center 18325 Bailey Ave, South Bend, IN 46637
Parkview Haven 101 Constitution Dr, Francesville, IN 47946
Mcgivney Health Care Center 2907 E 136th St, Carmel, IN 46033
Premier Healthcare of Fort Wayne 7519 Winchester Rd, Fort Wayne, IN 46819
Westminster Village Muncie Inc 5801 W Bethel Ave, Muncie, IN 47304
Hammond-Whiting Care Center 1000 114th St, Whiting, IN 46394
Creekside Village 1420 E Douglas Rd, Mishawaka, IN 46545
Clinton House Health and Rehab Center 809 W Freeman St, Frankfort, IN 46041
Waters of Rising Sun, The 405 Rio Vista Ln, Rising Sun, IN 47040
Countryside Meadows 762 N Dan Jones Rd, Avon, IN 46123
Miller's Merry Manor 500 E Pickwick Dr, Syracuse, IN 46567
Golden Living Center-Petersburg 309 W Pike Ave, Petersburg, IN 47567
University Place Health Center and Assisted Living 1750 Lindberg Rd, West Lafayette, IN 47906
Richland Bean Blossom Health Care Center 5911 State Road 46, Ellettsville, IN 47429
White River Lodge 3710 Kenny Simpson Ln, Bedford, IN 47421
Lutheran Community Home 111 W Church Ave, Seymour, IN 47274
Barrington of Carmel, The 1335 S Guilford Road, Carmel, IN 46032
Century Villa Health Care 705 N Meridian St, Greentown, IN 46936
Crown Point Christian Village 6685 E 117th Ave, Crown Point, IN 46307
Kindred Transitional Care and Rehab-Southwood 2222 Margaret Ave, Terre Haute, IN 47802
Forest Creek Village 525 E Thompson Rd, Indianapolis, IN 46227
Especially Kidz Health & Rehab 2325 S Miller St, Shelbyville, IN 46176
Williamsport Nursing and Rehabilitation 200 Short St, Williamsport, IN 47993
Hanover Nursing Center 410 W Lagrange Rd, Hanover, IN 47243
Trailpoint Village 1950 Ridgedale Rd, South Bend, IN 46614
Waters of Batesville, The 958 E Hwy 46, Batesville, IN 47006
Belltower Health & Rehabilitation Center 5805 North Fir Road, Granger, IN 46530
Albany Health Care & Rehabilitation Center 910 W Walnut St, Albany, IN 47320
Woodland Hills Care Center 403 Bielby Rd, Lawrenceburg, IN 47025
Summit Convalescent Center 701 S Main St, Summitville, IN 46070
Manor Care Health Services Summer Trace 12999 N Pennsylvania St, Carmel, IN 46032
Community Nursing and Rehabilitation Center 5600 E 16th St, Indianapolis, IN 46218
Miller's Merry Manor 1630 S County Farm Rd, Warsaw, IN 46580
Hildegard Health Center Inc 802 E 10th St, Ferdinand, IN 47532
Heritage House of Greensburg 410 Park Rd, Greensburg, IN 47240
Signature Healthcare of Bremen 316 Woodies Ln, Bremen, IN 46506
Heritage House of Richmond 2070 Chester Blvd, Richmond, IN 47374
Newburgh Health Care 10466 Pollack Ave, Newburgh, IN 47630
Allisonville Meadows 10312 Allisonville Rd, Fishers, IN 46038