Life Care Center Of The Willows - Valparaiso Nursing Home
General Information
UPDATEFederal Provider Number
155158
Provider Name
LIFE CARE CENTER OF THE WILLOWS
Provider Address
1000 ELIZABETH DR
VALPARAISO, IN 46383
VALPARAISO, IN 46383
Provider Phone Number
2194644858
Provider SSA County
630
Provider County Name
Porter
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1974-07-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96129
Reported LPN Staffing Hours per Resident per Day
0.66290
Reported RN Staffing Hours per Resident per Day
0.96855
Reported Licensed Staffing Hours per Resident per Day
1.63145
Reported Total Nurse Staffing Hours per Resident per Day
3.59274
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18468
Expected CNA Staffing Hours per Resident per Day
2.49611
Expected LPN Staffing Hours per Resident per Day
0.66326
Expected RN Staffing Hours per Resident per Day
1.01534
Expected Total Nurse Staffing Hours per Resident per Day
4.17471
Adjusted CNA Staffing Hours per Resident per Day
1.92797
Adjusted LPN Staffing Hours per Resident per Day
0.82956
Adjusted RN Staffing Hours per Resident per Day
0.71276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46898
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
83.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Valparaiso Care And Rehabilitation Center
606 Wall St |
VALPARAISO IN 46383 | 0.9 mile away
Golden Living Center-valparaiso
251 Sturdy Rd |
VALPARAISO IN 46383 | 0.9 mile away
Avalon Springs Health Campus
2400 Silhavy Road |
VALPARAISO IN 46383 | 1.2 miles away
Aperion Care Valparaiso
3301 N Calumet Ave |
VALPARAISO IN 46383 | 1.4 miles away
Life Care Center Of Valparaiso
3405 N Campbell Rd |
VALPARAISO IN 46385 | 1.9 miles away
Waters Of Duneland, The
110 Beverly Dr |
CHESTERTON IN 46304 | 8.2 miles away
Addison Pointe Health & Rehabilitation Center
780 Dickinson Road |
CHESTERTON IN 46304 | 8.6 miles away
Golden Living Center-fountainview Place
3175 Lancer St |
PORTAGE IN 46368 | 9.1 miles away
Miller's Merry Manor
5909 Lute Rd |
PORTAGE IN 46368 | 9.2 miles away
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