Cedar Creek Health Campus - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
155822
Provider Name
CEDAR CREEK HEALTH CAMPUS
Provider Address
18275 BURR STREET
LOWELL, IN 46356
LOWELL, IN 46356
Provider Phone Number
(219) 696-6750
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
46
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
2014-07-10
Continuing Care Retirement Community
Y
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
4
QM Rating Footnote
Staffing Rating
2
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
1.48587
Reported LPN Staffing Hours per Resident per Day
1.13478
Reported RN Staffing Hours per Resident per Day
0.82065
Reported Licensed Staffing Hours per Resident per Day
1.95543
Reported Total Nurse Staffing Hours per Resident per Day
3.44130
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25435
Expected CNA Staffing Hours per Resident per Day
2.54114
Expected LPN Staffing Hours per Resident per Day
0.78569
Expected RN Staffing Hours per Resident per Day
1.54317
Expected Total Nurse Staffing Hours per Resident per Day
4.87000
Adjusted CNA Staffing Hours per Resident per Day
1.43474
Adjusted LPN Staffing Hours per Resident per Day
1.19878
Adjusted RN Staffing Hours per Resident per Day
0.39736
Adjusted Total Nurse Staffing Hours per Resident per Day
2.84837
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-04-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-07-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
56.80000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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