Summit City Nursing And Rehabilitation - Fort Wayne Nursing Home
General Information
UPDATEFederal Provider Number
155159
Provider Name
SUMMIT CITY NURSING AND REHABILITATION
Provider Address
2940 N CLINTON ST
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Provider Phone Number
2604840602
Provider SSA County
10
Provider County Name
Allen
Ownership Type
Government - County
Number of Certified Beds
93
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE WATERS OF SUMMIT CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-06-12
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56438
Reported LPN Staffing Hours per Resident per Day
1.16313
Reported RN Staffing Hours per Resident per Day
1.07063
Reported Licensed Staffing Hours per Resident per Day
2.23375
Reported Total Nurse Staffing Hours per Resident per Day
4.79814
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08125
Expected CNA Staffing Hours per Resident per Day
2.92020
Expected LPN Staffing Hours per Resident per Day
0.92730
Expected RN Staffing Hours per Resident per Day
1.52550
Expected Total Nurse Staffing Hours per Resident per Day
5.37300
Adjusted CNA Staffing Hours per Resident per Day
2.15472
Adjusted LPN Staffing Hours per Resident per Day
1.04109
Adjusted RN Staffing Hours per Resident per Day
0.52440
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59963
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
16200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Glenbrook Rehabilitation & Skilled Nursing Center
3811 Parnell Ave |
FORT WAYNE IN 46805 | 0.9 mile away
Life Care Center Of Fort Wayne
1649 Spy Run Avenue |
FORT WAYNE IN 46805 | 0.9 mile away
Parkview Memorial Hospital-ccc
2200 Randallia Dr |
FORT WAYNE IN 46805 | 1.5 miles away
Saint Anne Home
1900 Randallia Dr |
FORT WAYNE IN 46805 | 1.6 miles away
University Park Health And Rehabilitation Center
1400 Medical Park Dr |
FORT WAYNE IN 46825 | 1.6 miles away
Heritage Park
2001 Hobson Rd |
FORT WAYNE IN 46805 | 2.1 miles away
Woodview A Waters Community
3420 East State Blvd |
FORT WAYNE IN 46805 | 2.2 miles away
Kingston Care Center Of Fort Wayne
1010 W Washington Center Rd |
FORT WAYNE IN 46825 | 2.2 miles away
Canterbury Nursing And Rehabilitation Center
2827 Northgate Blvd |
FORT WAYNE IN 46835 | 2.6 miles away
Towne House Retirement Community
2209 St Joe Center Rd |
FORT WAYNE IN 46825 | 2.6 miles away
Transitional Care Unit Of St Joseph
700 Broadway Transitional Care Unit |
FORT WAYNE IN 46802 | 3.2 miles away
Miller's Merry Manor
5544 E State Blvd |
FORT WAYNE IN 46815 | 3.5 miles away
Bethlehem Woods Nursing And Rehabilitation
4430 Elsdale Dr |
FORT WAYNE IN 46835 | 3.7 miles away
Signature Healthcare Of Fort Wayne
6006 Brandy Chase Cove |
FORT WAYNE IN 46815 | 3.8 miles away
Englewood Health & Rehabilitation Center
2237 Engle Rd |
FORT WAYNE IN 46809 | 4.3 miles away
Reviews: Be the first to review this provider.
Share your experience with Summit City Nursing And Rehabilitation. You can help others by writing a review.
