Simmons Loving Care Health Facility - Gary Nursing Home
General Information
UPDATEFederal Provider Number
150000000000000000000000000000
Provider Name
SIMMONS LOVING CARE HEALTH FACILITY
Provider Address
700 E 21ST AVE
GARY, IN 46407
GARY, IN 46407
Provider Phone Number
(219) 882-2563
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
21
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87857
Reported LPN Staffing Hours per Resident per Day
0.76190
Reported RN Staffing Hours per Resident per Day
0.81667
Reported Licensed Staffing Hours per Resident per Day
1.57857
Reported Total Nurse Staffing Hours per Resident per Day
3.45714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02143
Expected CNA Staffing Hours per Resident per Day
2.52643
Expected LPN Staffing Hours per Resident per Day
0.62146
Expected RN Staffing Hours per Resident per Day
0.77033
Expected Total Nurse Staffing Hours per Resident per Day
3.91822
Adjusted CNA Staffing Hours per Resident per Day
1.82449
Adjusted LPN Staffing Hours per Resident per Day
1.01757
Adjusted RN Staffing Hours per Resident per Day
0.79215
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55656
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
26
Cycle 2 Number of Complaint Health Deficiencies
25
Cycle 2 Health Deficiency Score
315
Cycle 2 Standard Health Survey Date
2012-12-03
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
158
Cycle 2 Total Health Score
473
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2011-09-23
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
62
Cycle 3 Total Health Score
186
Total Weighted Health Survey Score
252.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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