Avalon Springs Health Campus - Valparaiso Nursing Home

General Information

UPDATE
Federal Provider Number
155795
Provider Name
AVALON SPRINGS HEALTH CAMPUS
Provider Address
2400 SILHAVY ROAD
VALPARAISO, IN 46383
Provider Phone Number
(219) 462-1778
Provider SSA County
630
Provider County Name
Porter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-04-20
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.18793
Reported LPN Staffing Hours per Resident per Day
1.33879
Reported RN Staffing Hours per Resident per Day
1.20172
Reported Licensed Staffing Hours per Resident per Day
2.54052
Reported Total Nurse Staffing Hours per Resident per Day
4.72844
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14655
Expected CNA Staffing Hours per Resident per Day
2.48178
Expected LPN Staffing Hours per Resident per Day
0.69127
Expected RN Staffing Hours per Resident per Day
1.24686
Expected Total Nurse Staffing Hours per Resident per Day
4.41991
Adjusted CNA Staffing Hours per Resident per Day
2.16317
Adjusted LPN Staffing Hours per Resident per Day
1.60747
Adjusted RN Staffing Hours per Resident per Day
0.72015
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31228
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
20
Cycle 2 Health Deficiency Score
180
Cycle 2 Standard Health Survey Date
2013-07-03
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
90
Cycle 2 Total Health Score
270
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
140.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
38
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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