Life Care Center Of Valparaiso - Valparaiso Nursing Home
General Information
UPDATEFederal Provider Number
155331
Provider Name
LIFE CARE CENTER OF VALPARAISO
Provider Address
3405 N CAMPBELL RD
VALPARAISO, IN 46385
VALPARAISO, IN 46385
Provider Phone Number
(219) 462-1023
Provider SSA County
630
Provider County Name
Porter
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALPARAISO OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-27
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.02361
Reported LPN Staffing Hours per Resident per Day
0.87176
Reported RN Staffing Hours per Resident per Day
0.88009
Reported Licensed Staffing Hours per Resident per Day
1.75185
Reported Total Nurse Staffing Hours per Resident per Day
3.77546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15926
Expected CNA Staffing Hours per Resident per Day
2.41137
Expected LPN Staffing Hours per Resident per Day
0.63745
Expected RN Staffing Hours per Resident per Day
1.08923
Expected Total Nurse Staffing Hours per Resident per Day
4.13806
Adjusted CNA Staffing Hours per Resident per Day
2.05913
Adjusted LPN Staffing Hours per Resident per Day
1.13508
Adjusted RN Staffing Hours per Resident per Day
0.60373
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67769
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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