Sprenger Health Care Of Mishawaka - Mishawaka Nursing Home
General Information
UPDATEFederal Provider Number
155804
Provider Name
SPRENGER HEALTH CARE OF MISHAWAKA
Provider Address
60257 BODNAR BLVD
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
Provider Phone Number
(440) 989-5200
Provider SSA County
700
Provider County Name
St. Joseph
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRENGER HEALTH CARE OF MISHAWAKA INC
Date First Approved to Provide Medicare and Medicaid services
2013-01-15
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.36333
Reported LPN Staffing Hours per Resident per Day
1.20417
Reported RN Staffing Hours per Resident per Day
0.84333
Reported Licensed Staffing Hours per Resident per Day
2.04750
Reported Total Nurse Staffing Hours per Resident per Day
4.41083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27167
Expected CNA Staffing Hours per Resident per Day
2.52168
Expected LPN Staffing Hours per Resident per Day
0.91766
Expected RN Staffing Hours per Resident per Day
1.71649
Expected Total Nurse Staffing Hours per Resident per Day
5.15583
Adjusted CNA Staffing Hours per Resident per Day
2.29962
Adjusted LPN Staffing Hours per Resident per Day
1.08914
Adjusted RN Staffing Hours per Resident per Day
0.36711
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44845
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
24
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
24
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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