Kendallville Manor
Kendallville Manor Information
| Facility Name | Kendallville Manor |
| Location | 1802 E Dowling St, Cree Lake, IN 46755 |
| County (SSA Code) | Noble (560) |
| Phone Number | 260-347-4374 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 60 |
| Average Number of Residents | 25.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Resident |
| Provider Business Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Ownership Type | Non profit - Other |
| Date First Approved | 1992-12-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.88514 |
| Reported LPN Staffing Hours per Resident per Day | 0.6329 |
| Reported RN Staffing - Hours per Resident per Day | 0.74575 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.37865 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.26379 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02258 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13589 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79596 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35925 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.29109 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.16174 |
| Total Weighted Health Survey Score for three cycles | 13.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-11 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-12 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-14 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |