Addison Pointe Health & Rehabilitation Center - Chesterton Nursing Home
General Information
UPDATEFederal Provider Number
155805
Provider Name
ADDISON POINTE HEALTH & REHABILITATION CENTER
Provider Address
780 DICKINSON ROAD
CHESTERTON, IN 46304
CHESTERTON, IN 46304
Provider Phone Number
(219) 921-2200
Provider SSA County
630
Provider County Name
Porter
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERVIEW HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2012-12-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.13278
Reported LPN Staffing Hours per Resident per Day
1.21167
Reported RN Staffing Hours per Resident per Day
1.15556
Reported Licensed Staffing Hours per Resident per Day
2.36722
Reported Total Nurse Staffing Hours per Resident per Day
4.50001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18000
Expected CNA Staffing Hours per Resident per Day
2.35907
Expected LPN Staffing Hours per Resident per Day
0.70026
Expected RN Staffing Hours per Resident per Day
1.30784
Expected Total Nurse Staffing Hours per Resident per Day
4.36717
Adjusted CNA Staffing Hours per Resident per Day
2.21833
Adjusted LPN Staffing Hours per Resident per Day
1.43616
Adjusted RN Staffing Hours per Resident per Day
0.66020
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15351
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
35
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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