Avalon Village - Ligonier Nursing Home
General Information
UPDATEFederal Provider Number
155286
Provider Name
AVALON VILLAGE
Provider Address
200 KINGSTON CIR
LIGONIER, IN 46767
LIGONIER, IN 46767
Provider Phone Number
(260) 894-7131
Provider SSA County
560
Provider County Name
Noble
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1986-08-26
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
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
2.45392
Reported LPN Staffing Hours per Resident per Day
0.93137
Reported RN Staffing Hours per Resident per Day
1.73137
Reported Licensed Staffing Hours per Resident per Day
2.66275
Reported Total Nurse Staffing Hours per Resident per Day
5.11666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05196
Expected CNA Staffing Hours per Resident per Day
2.73431
Expected LPN Staffing Hours per Resident per Day
0.82873
Expected RN Staffing Hours per Resident per Day
1.34559
Expected Total Nurse Staffing Hours per Resident per Day
4.90863
Adjusted CNA Staffing Hours per Resident per Day
2.20209
Adjusted LPN Staffing Hours per Resident per Day
0.93279
Adjusted RN Staffing Hours per Resident per Day
0.96142
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20173
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-05
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
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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