Community Parkview Care Center - Elwood Nursing Home
General Information
UPDATEFederal Provider Number
155522
Provider Name
COMMUNITY PARKVIEW CARE CENTER
Provider Address
2300 PARKVIEW LN
ELWOOD, IN 46036
ELWOOD, IN 46036
Provider Phone Number
7655529884
Provider SSA County
470
Provider County Name
Madison
Ownership Type
Non profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06267
Reported LPN Staffing Hours per Resident per Day
0.88333
Reported RN Staffing Hours per Resident per Day
0.43867
Reported Licensed Staffing Hours per Resident per Day
1.32200
Reported Total Nurse Staffing Hours per Resident per Day
3.38467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07533
Expected CNA Staffing Hours per Resident per Day
2.41785
Expected LPN Staffing Hours per Resident per Day
0.64431
Expected RN Staffing Hours per Resident per Day
1.04604
Expected Total Nurse Staffing Hours per Resident per Day
4.10820
Adjusted CNA Staffing Hours per Resident per Day
2.09325
Adjusted LPN Staffing Hours per Resident per Day
1.13790
Adjusted RN Staffing Hours per Resident per Day
0.31335
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32098
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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