Overall Rating
Address
206 E Marion St
South Bend, IN 46601
Contact
5742330165
Certification Date
2005-08-03
CMS Certification Number
155738
Ownership Type
For profit - Corporation
Number of Certified Beds
34
Average Number of Residents per Day
23.7
Provider Type
Medicare and Medicaid
Legal Business Name
PULASKI MEMORIAL HOSPITAL
Affiliated Entity Name
PULASKI MEMORIAL HOSPITAL
Affiliated Entity ID
435
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
3.30453
Reported LPN Staffing Hours per Resident per Day
1.60666
Reported RN Staffing Hours per Resident per Day
0.67815
Reported Total Nurse Staffing Hours per Resident per Day
5.58933
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.88414
Registered Nurse Hours per Resident per Day on the Weekend
0.36628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04856
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
65.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Citations from Infection Control Inspections
2
Standard Health Survey Date
2023-10-30
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
2
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2022-08-01
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
3
Health Deficiency Score
88
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
88
Standard Health Survey Date
2021-08-18
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
2
Health Deficiency Score
72
Number of Health Revisits
2
Health Revisit Score
36
Total Health Score
108
Number of Fines
2
Total Amount of Fines in Dollars
13000.00
Number of Payment Denials
1
Total Number of Penalties
3