Elkhart Rehabilitation Center - Elkhart Nursing Home
General Information
UPDATEFederal Provider Number
155352
Provider Name
ELKHART REHABILITATION CENTER
Provider Address
2600 MOREHOUSE AVE
ELKHART, IN 46517
ELKHART, IN 46517
Provider Phone Number
(574) 295-8800
Provider SSA County
190
Provider County Name
Elkhart
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1990-03-09
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.83367
Reported LPN Staffing Hours per Resident per Day
0.50102
Reported RN Staffing Hours per Resident per Day
1.17755
Reported Licensed Staffing Hours per Resident per Day
1.67857
Reported Total Nurse Staffing Hours per Resident per Day
3.51224
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01429
Expected CNA Staffing Hours per Resident per Day
2.35891
Expected LPN Staffing Hours per Resident per Day
0.65346
Expected RN Staffing Hours per Resident per Day
1.23314
Expected Total Nurse Staffing Hours per Resident per Day
4.24550
Adjusted CNA Staffing Hours per Resident per Day
1.90736
Adjusted LPN Staffing Hours per Resident per Day
0.63638
Adjusted RN Staffing Hours per Resident per Day
0.71352
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33470
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
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
24
Cycle 2 Standard Health Survey Date
2013-02-08
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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