Kindred Nursing And Rehabilitation Valley View - Elkhart Nursing Home
General Information
UPDATEFederal Provider Number
155496
Provider Name
KINDRED NURSING AND REHABILITATION VALLEY VIEW
Provider Address
333 W MISHAWAKA RD
ELKHART, IN 46517
ELKHART, IN 46517
Provider Phone Number
(574) 293-1550
Provider SSA County
190
Provider County Name
Elkhart
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1993-08-11
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00176
Reported LPN Staffing Hours per Resident per Day
1.26588
Reported RN Staffing Hours per Resident per Day
0.63882
Reported Licensed Staffing Hours per Resident per Day
1.90471
Reported Total Nurse Staffing Hours per Resident per Day
3.90646
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07588
Expected CNA Staffing Hours per Resident per Day
2.36144
Expected LPN Staffing Hours per Resident per Day
0.64766
Expected RN Staffing Hours per Resident per Day
1.21703
Expected Total Nurse Staffing Hours per Resident per Day
4.22612
Adjusted CNA Staffing Hours per Resident per Day
2.07997
Adjusted LPN Staffing Hours per Resident per Day
1.62228
Adjusted RN Staffing Hours per Resident per Day
0.39221
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72600
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-10-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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