Overall Rating
Address
17475 Dugdale Dr
South Bend, IN 46635
Contact
5742477500
Certification Date
1994-01-04
CMS Certification Number
155506
Ownership Type
Non profit - Other
Number of Certified Beds
168
Average Number of Residents per Day
69.2
Provider Type
Medicare and Medicaid
Legal Business Name
ADAMS COUNTY MEMORIAL HOSPITAL
Affiliated Entity Name
TRINITY HEALTH
Affiliated Entity ID
525
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.12097
Reported LPN Staffing Hours per Resident per Day
1.34619
Reported RN Staffing Hours per Resident per Day
0.57374
Reported Total Nurse Staffing Hours per Resident per Day
4.04091
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.53768
Registered Nurse Hours per Resident per Day on the Weekend
0.34676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08773
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
41.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-05-23
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-10-11
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
1
Health Deficiency Score
92
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
92
Standard Health Survey Date
2018-12-07
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
0
Health Deficiency Score
28
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
28
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0