Indiana Nursing Homes >> Mishawaka Nursing Homes >> Michiana Health And Rehabilitation Center

Michiana Health And Rehabilitation Center - Mishawaka Nursing Home

General Information

UPDATE
Federal Provider Number
155784
Provider Name
MICHIANA HEALTH AND REHABILITATION CENTER
Provider Address
1420 E DOUGLAS RD
MISHAWAKA, IN 46545
Provider Phone Number
5743077200
Provider SSA County
700
Provider County Name
St. Joseph
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEARBORN COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2010-10-26
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
2
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
2.83228
Reported LPN Staffing Hours per Resident per Day
1.13038
Reported RN Staffing Hours per Resident per Day
1.06203
Reported Licensed Staffing Hours per Resident per Day
2.19241
Reported Total Nurse Staffing Hours per Resident per Day
5.02469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15570
Expected CNA Staffing Hours per Resident per Day
2.53759
Expected LPN Staffing Hours per Resident per Day
0.67532
Expected RN Staffing Hours per Resident per Day
1.19675
Expected Total Nurse Staffing Hours per Resident per Day
4.40965
Adjusted CNA Staffing Hours per Resident per Day
2.73865
Adjusted LPN Staffing Hours per Resident per Day
1.38929
Adjusted RN Staffing Hours per Resident per Day
0.66309
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59311
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-02-21
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
20
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-12-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
46
Cycle 3 Total Health Score
138
Total Weighted Health Survey Score
54.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
41
Number of Fines
1
Total Amount of Fines in Dollars
2212
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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