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WELLBROOKE OF SOUTH BEND

Overall Rating

Address

52565 State Road 933

South Bend, IN 46637

Contact

5742477044

Certification Date

2014-09-09

Details

CMS Certification Number

155824

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

70

Average Number of Residents per Day

45.4

Provider Type

Medicare and Medicaid

Legal Business Name

HANCOCK REGIONAL HOSPITAL

Affiliated Entity Name

TRILOGY HEALTH SERVICES

Affiliated Entity ID

524

Ratings

Health Inspection Rating

4

Quality Measure Rating

3

Staffing Rating

5

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.42321

Reported LPN Staffing Hours per Resident per Day

0.76897

Reported RN Staffing Hours per Resident per Day

1.06184

Reported Total Nurse Staffing Hours per Resident per Day

4.25402

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

3.69592

Registered Nurse Hours per Resident per Day on the Weekend

0.85080

Reported Physical Therapist Staffing Hours per Resident Per Day

0.09134

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

29.333

Number of Facility Reported Incidents

2

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2024-02-20

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2022-12-15

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

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 3

Standard Health Survey Date

2019-04-29

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

1

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

9750.00

Number of Payment Denials

0

Total Number of Penalties

1