Valparaiso Care And Rehabilitation Center - Valparaiso Nursing Home
General Information
UPDATEFederal Provider Number
155166
Provider Name
VALPARAISO CARE AND REHABILITATION CENTER
Provider Address
606 WALL ST
VALPARAISO, IN 46383
VALPARAISO, IN 46383
Provider Phone Number
(219) 464-4976
Provider SSA County
630
Provider County Name
Porter
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Date First Approved to Provide Medicare and Medicaid services
1975-01-17
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
3
QM Rating Footnote
Staffing Rating
3
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
2.38259
Reported LPN Staffing Hours per Resident per Day
1.13444
Reported RN Staffing Hours per Resident per Day
1.10926
Reported Licensed Staffing Hours per Resident per Day
2.24370
Reported Total Nurse Staffing Hours per Resident per Day
4.62629
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03741
Expected CNA Staffing Hours per Resident per Day
2.85301
Expected LPN Staffing Hours per Resident per Day
0.98127
Expected RN Staffing Hours per Resident per Day
1.46888
Expected Total Nurse Staffing Hours per Resident per Day
5.30317
Adjusted CNA Staffing Hours per Resident per Day
2.04912
Adjusted LPN Staffing Hours per Resident per Day
0.95955
Adjusted RN Staffing Hours per Resident per Day
0.56426
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51641
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
30
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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