Nursing Home

SOUTHFIELD VILLAGE

Overall Rating

Address

6450 Miami Cir

South Bend, IN 46614

Contact

5742311000

Certification Date

2000-12-28

Details

CMS Certification Number

155684

Ownership Type

Government - City/county

Number of Certified Beds

60

Average Number of Residents per Day

49.5

Provider Type

Medicare and Medicaid

Legal Business Name

WOODLAWN HOSPITAL

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

3

Quality Measure Rating

3

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.49421

Reported LPN Staffing Hours per Resident per Day

0.43859

Reported RN Staffing Hours per Resident per Day

0.99481

Reported Total Nurse Staffing Hours per Resident per Day

3.92761

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.82333

Registered Nurse Hours per Resident per Day on the Weekend

0.76863

Reported Physical Therapist Staffing Hours per Resident Per Day

0.06430

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

2

Inspections

Total Weighted Health Survey Score

40.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

6

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-10-31

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

0

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Rating Cycle 2

Standard Health Survey Date

2022-07-26

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

11

Number of Complaint Health Deficiencies

2

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Rating Cycle 3

Standard Health Survey Date

2021-04-26

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

0

Number of Complaint Health Deficiencies

1

Health Deficiency Score

20

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

20

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

6922.50

Number of Payment Denials

0

Total Number of Penalties

1