Overall Rating
Cited for abuse
Address
5024 Western Avenue
South Bend, IN 46619
Contact
5743184600
Certification Date
2015-05-07
CMS Certification Number
155831
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Average Number of Residents per Day
79.4
Provider Type
Medicare and Medicaid
Legal Business Name
DECATUR COUNTY MEMORIAL HOSPITAL
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.47508
Reported LPN Staffing Hours per Resident per Day
0.84166
Reported RN Staffing Hours per Resident per Day
0.59684
Reported Total Nurse Staffing Hours per Resident per Day
3.91358
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.35573
Registered Nurse Hours per Resident per Day on the Weekend
0.25932
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06192
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
107.333
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
18
Number of Citations from Infection Control Inspections
3
Standard Health Survey Date
2023-07-14
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
2
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2022-04-04
Total Number of Health Deficiencies
26
Number of Standard Health Deficiencies
23
Number of Complaint Health Deficiencies
5
Health Deficiency Score
140
Number of Health Revisits
2
Health Revisit Score
70
Total Health Score
210
Standard Health Survey Date
2021-05-28
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
1
Health Deficiency Score
68
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
68
Number of Fines
4
Total Amount of Fines in Dollars
257052.70
Number of Payment Denials
2
Total Number of Penalties
6