East Lake Nursing & Rehabilitation Center - Elkhart Nursing Home
General Information
UPDATEFederal Provider Number
155269
Provider Name
EAST LAKE NURSING & REHABILITATION CENTER
Provider Address
1900 JEANWOOD DR
ELKHART, IN 46514
ELKHART, IN 46514
Provider Phone Number
(574) 264-1133
Provider SSA County
190
Provider County Name
Elkhart
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
152
Number of Residents in Certified Beds
131
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
1985-10-28
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.53168
Reported LPN Staffing Hours per Resident per Day
1.04198
Reported RN Staffing Hours per Resident per Day
1.35840
Reported Licensed Staffing Hours per Resident per Day
2.40038
Reported Total Nurse Staffing Hours per Resident per Day
4.93206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09198
Expected CNA Staffing Hours per Resident per Day
2.78655
Expected LPN Staffing Hours per Resident per Day
0.81004
Expected RN Staffing Hours per Resident per Day
1.31220
Expected Total Nurse Staffing Hours per Resident per Day
4.90879
Adjusted CNA Staffing Hours per Resident per Day
2.22928
Adjusted LPN Staffing Hours per Resident per Day
1.06766
Adjusted RN Staffing Hours per Resident per Day
0.77351
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05001
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-08-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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