Chippewa County War Mem Hosp Ltcu - Sault Sainte Marie Nursing Home
General Information
UPDATEFederal Provider Number
235381
Provider Name
CHIPPEWA COUNTY WAR MEM HOSP LTCU
Provider Address
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
Provider Phone Number
9066354460
Provider SSA County
160
Provider County Name
Chippewa
Ownership Type
Non profit - Other
Number of Certified Beds
51
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.52872
Reported LPN Staffing Hours per Resident per Day
1.09468
Reported RN Staffing Hours per Resident per Day
0.59681
Reported Licensed Staffing Hours per Resident per Day
1.69149
Reported Total Nurse Staffing Hours per Resident per Day
4.22021
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01489
Expected CNA Staffing Hours per Resident per Day
2.51232
Expected LPN Staffing Hours per Resident per Day
0.63878
Expected RN Staffing Hours per Resident per Day
0.88074
Expected Total Nurse Staffing Hours per Resident per Day
4.03184
Adjusted CNA Staffing Hours per Resident per Day
2.46972
Adjusted LPN Staffing Hours per Resident per Day
1.42236
Adjusted RN Staffing Hours per Resident per Day
0.50632
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21922
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
8550
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Tendercare Sault Ste Marie
1011 Meridian Rd |
SAULT SAINTE MARIE MI 49783 | 0.9 mile away
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