Clearvista Lake Health Campus
Clearvista Lake Health Campus Information
| Facility Name | Clearvista Lake Health Campus |
| Location | 8405 Clearvista Place, Indianapolis, IN 46256 |
| County (SSA Code) | Marion (480) |
| Phone Number | 317-578-7500 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 70 |
| Average Number of Residents | 35.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WITHAM MEMORIAL HOSPITAL |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2014-02-26 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.99777 |
| Reported LPN Staffing Hours per Resident per Day | 1.07952 |
| Reported RN Staffing - Hours per Resident per Day | 0.70476 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.78429 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.78206 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.09109 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.38588 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.81017 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.38347 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.57952 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.36858 |
| Total Weighted Health Survey Score for three cycles | 62 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-01 |
| Rating cycle 1 - Health Deficiency Score | 9 |
| Rating cycle 1 - Total Health Inspection Score | 52 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-16 |
| Rating cycle 2 - Health Deficiency Score | 52 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-08 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 8 |
| Number of Substantiated Complaints | 8 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |