Southfield Village - South Bend Nursing Home
General Information
UPDATEFederal Provider Number
155684
Provider Name
SOUTHFIELD VILLAGE
Provider Address
6450 MIAMI CIR
SOUTH BEND, IN 46614
SOUTH BEND, IN 46614
Provider Phone Number
5742311000
Provider SSA County
700
Provider County Name
St. Joseph
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHFIELD VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
2000-12-28
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.46574
Reported LPN Staffing Hours per Resident per Day
0.74074
Reported RN Staffing Hours per Resident per Day
0.96852
Reported Licensed Staffing Hours per Resident per Day
1.70926
Reported Total Nurse Staffing Hours per Resident per Day
4.17500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06481
Expected CNA Staffing Hours per Resident per Day
2.38735
Expected LPN Staffing Hours per Resident per Day
0.60905
Expected RN Staffing Hours per Resident per Day
1.03685
Expected Total Nurse Staffing Hours per Resident per Day
4.03325
Adjusted CNA Staffing Hours per Resident per Day
2.53427
Adjusted LPN Staffing Hours per Resident per Day
1.00947
Adjusted RN Staffing Hours per Resident per Day
0.69796
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17257
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2013-11-22
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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
Nursiong Homes Nearby
Sanctuary At St Pauls
3602 S Ironwood Dr |
SOUTH BEND IN 46614 | 2.5 miles away
Ironwood Health And Rehabilitation Center
1950 Ridgedale Rd |
SOUTH BEND IN 46614 | 2.7 miles away
Golden Living Center-mishawaka
811 E 12th St |
MISHAWAKA IN 46544 | 4.5 miles away
Sprenger Health Care Of Mishawaka
60257 Bodnar Blvd |
MISHAWAKA IN 46544 | 4.9 miles away
Cardinal Nursing And Rehabilitation Center
1121 E Lasalle Ave |
SOUTH BEND IN 46617 | 5.1 miles away
Milton Home, The
206 E Marion St |
SOUTH BEND IN 46601 | 5.3 miles away
West Bend Nursing And Rehabilitation
4600 W Washington Ave |
SOUTH BEND IN 46619 | 6.3 miles away
Holy Cross Village At Notre Dame Inc
Po Box 303 |
NOTRE DAME IN 46556 | 6.9 miles away
Golden Living Center-fountainview
609 W Tanglewood Ln |
MISHAWAKA IN 46545 | 6.9 miles away
Morningside Nursing And Memory Care Center
18325 Bailey Ave |
SOUTH BEND IN 46637 | 7 miles away
Michiana Health And Rehabilitation Center
1420 E Douglas Rd |
MISHAWAKA IN 46545 | 7.5 miles away
Sanctuary At Holy Cross--indiana
17475 Dugdale Dr |
SOUTH BEND IN 46635 | 7.6 miles away
Signature Healthcare Of South Bend
52654 N Ironwood Rd |
SOUTH BEND IN 46635 | 8.2 miles away
Wellbrooke Of South Bend
52565 State Road 933 |
SOUTH BEND IN 46637 | 8.5 miles away
Healthwin
20531 Darden Rd |
SOUTH BEND IN 46637 | 8.8 miles away
Reviews: Be the first to review this provider.
Share your experience with Southfield Village. You can help others by writing a review.
