SNF
SOUTH SHORE HEALTH & REHABILITATION CENTER
CCN: 155530 · GARY, IN 46402 · Lake County
Overview
- Address
- 353 TYLER ST, GARY, IN 46402
- Phone
- 2198867070
- Certified beds
- 100
- Avg daily residents
- 77 (77% of beds filled)
- Ownership
- Government (county)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-07-29
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.10 | 3.97 | 3.98 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.63 | 0.70 | 0.61 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.12 | 0.88 | 1.09 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.35 | 2.40 | 2.28 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.75 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.38
hrs / resident / day
RN (weekend)
0.24
hrs / resident / day
Total nurse (adjusted, weekend)
3.29
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
59.8%
annual
RN turnover
58.8%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.41
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-07-24 | 16 | 10 | 11 | 80 | 1 | 80 |
| Cycle 2/3 (prior) | 2023-06-09 | 26 | 13 | 14 | 136 | 1 | 136 |
Total weighted health score
94.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (63)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
2 A/B/C No actual harm — minor
60 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-09-22 | 2025-10-24 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-22 | 2025-10-24 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-09-22 | 2025-10-24 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-08-06 | 2025-09-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-06 | 2025-09-05 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-08-06 | 2025-09-05 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-24 | 2024-08-21 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-24 | 2024-08-21 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-24 | 2024-08-21 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-07-24 | 2024-08-21 |
| 0791 | Provide or obtain dental services for each resident. | D | 2024-07-24 | 2024-08-21 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-24 | 2024-08-21 |
| 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-07-24 | 2024-08-21 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-07-24 | 2024-08-21 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-24 | 2024-08-21 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-24 | 2024-08-21 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-04-30 | 2024-05-30 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-04-30 | 2024-05-30 |
| 0732 | Post nurse staffing information every day. | C | 2024-04-30 | 2024-05-30 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-04-30 | 2024-05-30 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-04-30 | 2024-05-30 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-04-30 | 2024-05-30 |
| 0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-01-30 | 2024-02-15 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-30 | 2024-02-15 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-09-28 | 2023-08-18 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-09-28 | 2023-10-24 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-06-09 | 2023-08-01 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-06-09 | 2023-08-01 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-06-09 | 2023-08-01 |
| 0679 | Provide activities to meet all resident's needs. | D | 2023-06-09 | 2023-08-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-09 | 2023-08-01 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-06-09 | 2023-08-01 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-06-09 | 2023-08-01 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-06-09 | 2023-08-01 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2023-06-09 | 2023-08-01 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-06-09 | 2023-08-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-06-09 | 2023-08-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-06-09 | 2023-08-01 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-06-09 | 2023-08-01 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-03-01 | 2023-04-20 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-03-01 | 2023-04-20 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-03-01 | 2023-04-20 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2022-05-31 | 2022-06-30 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2022-05-31 | 2022-06-30 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-05-31 | 2022-06-30 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-05-31 | 2022-06-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-05-31 | 2022-06-30 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-05-31 | 2022-06-30 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2022-05-31 | 2022-06-30 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-05-31 | 2022-07-19 |
Showing 50 most recent of 63. See the All Data CSV for the full list.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.9% Medicaid 86.4% Other 7.7%
Operating performance
Operating Margin
-11.0%
Total Margin
3.3%
Occupancy Rate
82.8%
Cost per Resident Day
$26
Revenue & costs
Net Patient Revenue
$9.6M
Total Costs
$776K
Net Income
$365K
Balance sheet
Total Assets
$3.5M
Total Liabilities
$5.2M
Fund Balance
-$1.7M
Current Ratio
1.93
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| MAYBACH PARTNERS, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| PULASKI MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| BENNETT, ADAM | CORPORATE DIRECTOR | since 01/01/2024 |
| HUTTON, CHARLES | CORPORATE DIRECTOR | since 01/01/2024 |
| KAUFFMAN, CLINTON | CORPORATE DIRECTOR | since 01/01/2024 |
| LEMAN, VALERIE | CORPORATE DIRECTOR | since 01/01/2024 |
| MCKAY, MICHAEL | CORPORATE DIRECTOR | since 01/01/2024 |
| SMITH, JENNIFER | CORPORATE DIRECTOR | since 01/01/2024 |
| WHITE, TAYLOR | CORPORATE DIRECTOR | since 01/01/2024 |
| MALOTT, GREGG | CORPORATE OFFICER | since 01/01/2024 |
| IBEKIE, ORANU | CONTRACTED MANAGING EMPLOYEE | since 01/01/2024 |
| BIRN, PHILLIP | W-2 MANAGING EMPLOYEE | since 01/01/2024 |
| SANDERS, CAITLIN | W-2 MANAGING EMPLOYEE | since 01/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $26 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.93 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 86.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $365,227 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,613,889 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 82.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,494,562 | metrics.total_assets |
| Cost Report | Total Costs ($) | $775,610 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,660,944 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,155,506 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 3.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.08744 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.28362 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.60916 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.98022 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.28571 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 77.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.88184 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.39665 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69509 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.97358 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.50230 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | GARY | City/Town |
| Provider Information | CMS Certification Number (CCN) | 155530 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Lake | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-07-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.6046 | Latitude |
| Provider Information | Legal Business Name | PULASKI MEMORIAL HOSPITAL | Legal Business Name |
| Provider Information | Location | 353 TYLER ST,GARY,IN,46402 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -87.348 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.40766 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.02179 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Government - County | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 353 TYLER ST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SOUTH SHORE HEALTH & REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 80 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 11 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 10 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-07-24 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 80 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 16 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 13 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-06-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 136 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 14 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 136 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 26 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.23564 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 58.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.74611 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.11917 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.35025 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01740 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.62694 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.09636 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IN | State |
| Provider Information | Telephone Number | 2198867070 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.38158 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 59.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 94.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 46402 | ZIP Code |