Crown Point Christian Village - Crown Point Nursing Home
General Information
UPDATEFederal Provider Number
155637
Provider Name
CROWN POINT CHRISTIAN VILLAGE
Provider Address
6685 E 117TH AVE
CROWN POINT, IN 46307
CROWN POINT, IN 46307
Provider Phone Number
2196620642
Provider SSA County
440
Provider County Name
Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.94524
Reported LPN Staffing Hours per Resident per Day
1.23476
Reported RN Staffing Hours per Resident per Day
0.65333
Reported Licensed Staffing Hours per Resident per Day
1.88810
Reported Total Nurse Staffing Hours per Resident per Day
4.83333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14619
Expected CNA Staffing Hours per Resident per Day
2.54165
Expected LPN Staffing Hours per Resident per Day
0.61630
Expected RN Staffing Hours per Resident per Day
0.96837
Expected Total Nurse Staffing Hours per Resident per Day
4.12632
Adjusted CNA Staffing Hours per Resident per Day
2.84333
Adjusted LPN Staffing Hours per Resident per Day
1.66292
Adjusted RN Staffing Hours per Resident per Day
0.50411
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72156
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-14
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
24
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
211
Cycle 3 Standard Health Survey Date
2012-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
211
Total Weighted Health Survey Score
67.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
20
Number of Fines
1
Total Amount of Fines in Dollars
6825
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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