Spring Mill Health Campus - Merrillville Nursing Home
General Information
UPDATEFederal Provider Number
155764
Provider Name
SPRING MILL HEALTH CAMPUS
Provider Address
101 W 87TH AVE
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
Provider Phone Number
2197560744
Provider SSA County
440
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-05-07
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
2
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.36861
Expected LPN Staffing Hours per Resident per Day
0.72126
Expected RN Staffing Hours per Resident per Day
1.37197
Expected Total Nurse Staffing Hours per Resident per Day
4.46185
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-03-10
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
30
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
27
Cycle 3 Health Deficiency Score
434
Cycle 3 Standard Health Survey Date
2013-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
434
Total Weighted Health Survey Score
148.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
36
Number of Fines
1
Total Amount of Fines in Dollars
17453
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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MERRILLVILLE IN 46410 | 0.6 mile away
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Miller's Merry Manor
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Aperion Care Tolleston Park
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Highland Nursing And Rehabilitation Center
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