St Anthony Home - Crown Point - Crown Point Nursing Home
General Information
UPDATEFederal Provider Number
155214
Provider Name
ST ANTHONY HOME - CROWN POINT
Provider Address
203 FRANCISCAN DR
CROWN POINT, IN 46307
CROWN POINT, IN 46307
Provider Phone Number
2196615100
Provider SSA County
440
Provider County Name
Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
189
Number of Residents in Certified Beds
167
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-03-11
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98563
Reported LPN Staffing Hours per Resident per Day
0.98862
Reported RN Staffing Hours per Resident per Day
0.74611
Reported Licensed Staffing Hours per Resident per Day
1.73473
Reported Total Nurse Staffing Hours per Resident per Day
4.72036
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11707
Expected CNA Staffing Hours per Resident per Day
2.74539
Expected LPN Staffing Hours per Resident per Day
0.70470
Expected RN Staffing Hours per Resident per Day
1.09460
Expected Total Nurse Staffing Hours per Resident per Day
4.54469
Adjusted CNA Staffing Hours per Resident per Day
2.66841
Adjusted LPN Staffing Hours per Resident per Day
1.16440
Adjusted RN Staffing Hours per Resident per Day
0.50931
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18671
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-09
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
9
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
20
Number of Fines
1
Total Amount of Fines in Dollars
12285
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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