Kalkaska Memorial Health Center - Kalkaska Nursing Home
General Information
UPDATEFederal Provider Number
235407
Provider Name
KALKASKA MEMORIAL HEALTH CENTER
Provider Address
419 S CORAL ST
KALKASKA, MI 49646
KALKASKA, MI 49646
Provider Phone Number
2312587500
Provider SSA County
390
Provider County Name
Kalkaska
Ownership Type
Government - Hospital district
Number of Certified Beds
84
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1980-06-29
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.15926
Reported LPN Staffing Hours per Resident per Day
0.41975
Reported RN Staffing Hours per Resident per Day
0.83580
Reported Licensed Staffing Hours per Resident per Day
1.25556
Reported Total Nurse Staffing Hours per Resident per Day
4.41481
Reported Physical Therapist Staffing Hours per Resident Per Day
0.48580
Expected CNA Staffing Hours per Resident per Day
2.48750
Expected LPN Staffing Hours per Resident per Day
0.57846
Expected RN Staffing Hours per Resident per Day
0.78875
Expected Total Nurse Staffing Hours per Resident per Day
3.85471
Adjusted CNA Staffing Hours per Resident per Day
3.11633
Adjusted LPN Staffing Hours per Resident per Day
0.60228
Adjusted RN Staffing Hours per Resident per Day
0.79177
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61660
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-18
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
68
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4485
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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