Exceptional Living Center Of Brazil - Brazil Nursing Home

General Information

UPDATE
Federal Provider Number
155503
Provider Name
EXCEPTIONAL LIVING CENTER OF BRAZIL
Provider Address
501 S MURPHY AVE
BRAZIL, IN 47834
Provider Phone Number
8124462636
Provider SSA County
100
Provider County Name
Clay
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELC OF BRAZIL, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.41031
Reported LPN Staffing Hours per Resident per Day
0.86753
Reported RN Staffing Hours per Resident per Day
0.73505
Reported Licensed Staffing Hours per Resident per Day
1.60258
Reported Total Nurse Staffing Hours per Resident per Day
4.01289
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05876
Expected CNA Staffing Hours per Resident per Day
2.38307
Expected LPN Staffing Hours per Resident per Day
0.65942
Expected RN Staffing Hours per Resident per Day
1.16632
Expected Total Nurse Staffing Hours per Resident per Day
4.20881
Adjusted CNA Staffing Hours per Resident per Day
2.48175
Adjusted LPN Staffing Hours per Resident per Day
1.09195
Adjusted RN Staffing Hours per Resident per Day
0.47091
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84326
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
12
Cycle 2 Standard Health Survey Date
2013-01-23
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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