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Detailed information-CLEARVISTA LAKE HEALTH CAMPUS
This is the detailed information about CLEARVISTA LAKE HEALTH CAMPUS, including its zip code, address, phone, federal provider number, state, overall rating, etc.
Federal Provider Number: 155815
Provider Name: CLEARVISTA LAKE HEALTH CAMPUS
Provider State: IN
Provider Zip Code: 46256
Ownership Type: For profit - Corporation
Number of Substantiated Complaints: 33
Provider Phone Number: 3175787500
Provider City: INDIANAPOLIS
Provider SSA County Code: 480
Provider County Name: Marion
Provider Address: 8405 CLEARVISTA PLACE
Number of Certified Beds: 70
Number of Residents in Certified Beds: 36.0
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services: 2014-02-26
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Reported Staffing Footnote:
Physical Therapist Staffing Footnote:
Reported CNA Staffing Hours per Resident per Day: 2.25839
Reported LPN Staffing Hours per Resident per Day: 1.72037
Reported RN Staffing Hours per Resident per Day: 0.45893
Reported Licensed Staffing Hours per Resident per Day: 2.17930
Reported Total Nurse Staffing Hours per Resident per Day: 4.43769
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.25093
Expected CNA Staffing Hours per Resident per Day: 2.46590
Expected LPN Staffing Hours per Resident per Day: 0.91452
Expected RN Staffing Hours per Resident per Day: 0.48093
Expected Total Nurse Staffing Hours per Resident per Day: 3.86135
Adjusted CNA Staffing Hours per Resident per Day: 1.91342
Adjusted LPN Staffing Hours per Resident per Day: 1.42755
Adjusted RN Staffing Hours per Resident per Day: 0.36301
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.71040
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 05/08/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 6
Total Weighted Health Survey Score: 158.000
Number of Facility Reported Incidents: 0
Number of Fines: 3
Total Amount of Fines in Dollars: 71341
Number of Payment Denials: 0
Total Number of Penalties: 3
Processing Date: 2018-04-01