Summerfield Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155587. The address is 34 S Main St, Cloverdale, IN 46120. The zip code is 46120. The phone number is 7657954260.
| Federal Provider Number | 155587 |
| Provider Name | SUMMERFIELD HEALTH CARE CENTER |
| Address | 34 S MAIN ST CLOVERDALE, IN 46120 |
| Phone Number | 7657954260 |
| SSA County Code | 660 |
| County Name | Putnam |
| Ownership Type | Non profit - Other |
| Certified Beds | 43 |
| Certified Beds Residents | 42 |
| Provider Type | Medicare and Medicaid |
| Resides in Hospital | false |
| Legal Business Name | PUTNAM COUNTY HOSPITAL |
| Date First Approved to Provide Medicare Medicaid Services | 11/01/1995 |
| Continuing Care Retirement Community | false |
| Special Focus Facility | false |
| Most Recent Health Inspection More Than 2 Years Ago | false |
| Changed Ownership Last 12 Months | false |
| With Resident Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| Quality Measure Rating | 3 |
| Staffing Rating | 2 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 1.90476 |
| Reported LPN Staffing Hours per Resident per Day | 0.44881 |
| Reported RN Staffing Hours per Resident per Day | 0.77619 |
| Reported Licensed Staffing Hours per Resident per Day | 1.225 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.12976 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01667 |
| Expected CNA Staffing Hours per Resident per Day | 2.5267 |
| Expected LPN Staffing Hours per Resident per Day | 0.58227 |
| Expected RN Staffing Hours per Resident per Day | 0.90594 |
| Expected Total Nurse Staffing Hours per Resident per Day | 4.01491 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.84973 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.63976 |
| Adjusted RN Staffing Hours per Resident per Day | 0.64018 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.14222 |
| Cycle 1 Total Number of Health Deficiencies | 1 |
| Cycle 1 Number of Standard Health Deficiencies | 1 |
| Cycle 1 Health Deficiency Score | 4 |
| Cycle 1 Standard Survey Health Date | 07/26/2016 |
| Cycle 1 Number of Health Revisits | 1 |
| Cycle 1 Total Health Score | 4 |
| Cycle 2 Total Number of Health Deficiencies | 3 |
| Cycle 2 Number of Standard Health Deficiencies | 3 |
| Cycle 2 Health Deficiency Score | 12 |
| Cycle 2 Standard Health Survey Date | 06/24/2015 |
| Cycle 2 Number of Health Revisits | 1 |
| Cycle 2 Total Health Score | 12 |
| Cycle 3 Standard Health Survey Date | 06/10/2014 |
| Total Weighted Health Survey Score | 6 |
| Total Amount of Fines in Dollars | $0.00 |
| Processing Date | 08/01/2017 |
| Owner Name | Role | Association Date |
|---|---|---|
| BRAY, ARNOLD (Individual) | DIRECTOR | since 12/01/2012 |
| BRIDGEWATERS, NEDRA (Individual) | MANAGING EMPLOYEE | since 06/16/2015 |
| CHOSEN CONSULTING INC (Organization) | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2014 |
| ERNST, KEITH (Individual) | DIRECTOR | since 12/01/2012 |
| FRY, JANICE (Individual) | DIRECTOR | since 12/01/2012 |
| HEADLEY, MATTHEW (Individual) | DIRECTOR | since 12/01/2012 |
| HEAVIN, ROBERT (Individual) | DIRECTOR | since 12/01/2012 |
| HORNSTEIN, GEORGE (Individual) | MANAGING EMPLOYEE | since 12/04/2014 |
| MANN, ROBERT (Individual) | DIRECTOR | since 01/01/2016 |
| O'HAIR, DENNIS (Individual) | DIRECTOR | since 12/01/2012 |
| ORLINSKY, MOSHE (Individual) | OFFICER | since 01/01/2016 |
| PERKINS, JONI (Individual) | MANAGING EMPLOYEE | since 12/01/2012 |
| PUTNAM COUNTY HOSPITAL (Organization) |
5% OR GREATER DIRECT OWNERSHIP INTEREST 100% |
since 12/01/2012 |
| WEATHERFORD, DENNIS (Individual) | MANAGING EMPLOYEE | since 12/01/2012 |
| WEATHERFORD, DENNIS (Individual) | OFFICER | since 12/01/2012 |
| WEATHERFORD, DENNIS (Individual) | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2012 |
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