Lake County Nursing And Rehabilitation Center - East Chicago Nursing Home
General Information
UPDATEFederal Provider Number
155653
Provider Name
LAKE COUNTY NURSING AND REHABILITATION CENTER
Provider Address
5025 MCCOOK AVE
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
Provider Phone Number
(219) 397-0380
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
117
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1998-09-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.76923
Reported LPN Staffing Hours per Resident per Day
1.12846
Reported RN Staffing Hours per Resident per Day
0.44154
Reported Licensed Staffing Hours per Resident per Day
1.57000
Reported Total Nurse Staffing Hours per Resident per Day
3.33923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01000
Expected CNA Staffing Hours per Resident per Day
2.57763
Expected LPN Staffing Hours per Resident per Day
0.76704
Expected RN Staffing Hours per Resident per Day
1.22624
Expected Total Nurse Staffing Hours per Resident per Day
4.57091
Adjusted CNA Staffing Hours per Resident per Day
1.68416
Adjusted LPN Staffing Hours per Resident per Day
1.22109
Adjusted RN Staffing Hours per Resident per Day
0.26905
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94473
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
219
Cycle 2 Standard Health Survey Date
2014-07-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
219
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
16
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2013-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
149.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
43
Number of Fines
2
Total Amount of Fines in Dollars
54475
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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