New Haven Center - New Haven Nursing Home
General Information
UPDATEFederal Provider Number
155207
Provider Name
NEW HAVEN CENTER
Provider Address
1201 DALY DR
NEW HAVEN, IN 46774
NEW HAVEN, IN 46774
Provider Phone Number
2607490413
Provider SSA County
10
Provider County Name
Allen
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HHCI LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1982-09-27
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14881
Reported LPN Staffing Hours per Resident per Day
0.98512
Reported RN Staffing Hours per Resident per Day
0.86131
Reported Licensed Staffing Hours per Resident per Day
1.84643
Reported Total Nurse Staffing Hours per Resident per Day
3.99524
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05298
Expected CNA Staffing Hours per Resident per Day
2.37374
Expected LPN Staffing Hours per Resident per Day
0.74252
Expected RN Staffing Hours per Resident per Day
1.38773
Expected Total Nurse Staffing Hours per Resident per Day
4.50399
Adjusted CNA Staffing Hours per Resident per Day
2.22119
Adjusted LPN Staffing Hours per Resident per Day
1.10118
Adjusted RN Staffing Hours per Resident per Day
0.46376
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57559
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-15
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
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
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