Life Care Center Of Michigan City - Michigan City Nursing Home
General Information
UPDATEFederal Provider Number
155344
Provider Name
LIFE CARE CENTER OF MICHIGAN CITY
Provider Address
802 US HWY 20 E
MICHIGAN CITY, IN 46360
MICHIGAN CITY, IN 46360
Provider Phone Number
(219) 872-7251
Provider SSA County
450
Provider County Name
La Porte
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MICHIGAN CITY MEDICAL INVESTORS LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1989-11-18
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.84940
Reported LPN Staffing Hours per Resident per Day
0.90542
Reported RN Staffing Hours per Resident per Day
0.90843
Reported Licensed Staffing Hours per Resident per Day
1.81386
Reported Total Nurse Staffing Hours per Resident per Day
3.66325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11084
Expected CNA Staffing Hours per Resident per Day
2.33785
Expected LPN Staffing Hours per Resident per Day
0.64521
Expected RN Staffing Hours per Resident per Day
1.20361
Expected Total Nurse Staffing Hours per Resident per Day
4.18667
Adjusted CNA Staffing Hours per Resident per Day
1.94104
Adjusted LPN Staffing Hours per Resident per Day
1.16474
Adjusted RN Staffing Hours per Resident per Day
0.56395
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52695
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
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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