Munster Med-inn - Munster Nursing Home
General Information
UPDATEFederal Provider Number
155131
Provider Name
MUNSTER MED-INN
Provider Address
7935 CALUMET AVE
MUNSTER, IN 46321
MUNSTER, IN 46321
Provider Phone Number
(219) 836-8300
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
225
Number of Residents in Certified Beds
205
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1972-09-07
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
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53780
Reported LPN Staffing Hours per Resident per Day
1.09780
Reported RN Staffing Hours per Resident per Day
0.51195
Reported Licensed Staffing Hours per Resident per Day
1.60976
Reported Total Nurse Staffing Hours per Resident per Day
4.14755
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10073
Expected CNA Staffing Hours per Resident per Day
2.58818
Expected LPN Staffing Hours per Resident per Day
0.65891
Expected RN Staffing Hours per Resident per Day
1.03297
Expected Total Nurse Staffing Hours per Resident per Day
4.28006
Adjusted CNA Staffing Hours per Resident per Day
2.40594
Adjusted LPN Staffing Hours per Resident per Day
1.38285
Adjusted RN Staffing Hours per Resident per Day
0.37032
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90610
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
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
72
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2013-01-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
82.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
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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