Heritage House of Richmond
2070 Chester Blvd, Richmond, IN 47374


Heritage House of Richmond is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155228. The address is 2070 Chester Blvd, Richmond, IN 47374. The zip code is 47374. The phone number is 7659623543.


Heritage House of Richmond · 2070 Chester Blvd, Richmond, IN 47374

Federal Provider Number 155228
Provider Name HERITAGE HOUSE OF RICHMOND
Address 2070 CHESTER BLVD
RICHMOND, IN 47374
Phone Number 7659623543
SSA County Code 880
County Name Wayne
Ownership Type Government - County
Certified Beds 87
Certified Beds Residents 72
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 01/01/1984
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 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.51528
Reported LPN Staffing Hours per Resident per Day 0.68125
Reported RN Staffing Hours per Resident per Day 0.75347
Reported Licensed Staffing Hours per Resident per Day 1.43472
Reported Total Nurse Staffing Hours per Resident per Day 3.95
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02569
Expected CNA Staffing Hours per Resident per Day 2.35062
Expected LPN Staffing Hours per Resident per Day 0.64651
Expected RN Staffing Hours per Resident per Day 1.11511
Expected Total Nurse Staffing Hours per Resident per Day 4.11224
Adjusted CNA Staffing Hours per Resident per Day 2.62559
Adjusted LPN Staffing Hours per Resident per Day 0.8746
Adjusted RN Staffing Hours per Resident per Day 0.50487
Adjusted Total Nurse Staffing Hours per Resident per Day 3.87187
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 11/09/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 09/08/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 08/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 24
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Heritage House of Richmond

Owner Name Role Association Date
BRAMMER, DUANE (Individual) DIRECTOR since 01/01/2012
DEPREZ, CHARLSON (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2014
DEPREZ, PAMELA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
DYNES, SHELDON (Individual) DIRECTOR since 01/01/2012
HENRY COUNTY MEMORIAL HOSPITAL (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/2012
HENRY COUNTY MEMORIAL HOSPITAL (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
HERITAGE HOUSE GROUP LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
JANSSEN, PAUL (Individual) OFFICER since 01/01/2012
JANSSEN, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
PIDGEON, JOHN (Individual) DIRECTOR since 01/01/2012
SHORE, MARION (Individual) DIRECTOR since 01/01/2012

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