Tendercare Health Center Of Cheboygan - Cheboygan Nursing Home
General Information
UPDATEFederal Provider Number
235566
Provider Name
TENDERCARE HEALTH CENTER OF CHEBOYGAN
Provider Address
824 S HURON PO BOX 408
CHEBOYGAN, MI 49721
CHEBOYGAN, MI 49721
Provider Phone Number
2316274347
Provider SSA County
150
Provider County Name
Cheboygan
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TENDERCARE MICHIGAN INC
Date First Approved to Provide Medicare and Medicaid services
1995-07-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
2
QM Rating Footnote
Staffing Rating
4
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
2.59416
Reported LPN Staffing Hours per Resident per Day
0.09740
Reported RN Staffing Hours per Resident per Day
1.35455
Reported Licensed Staffing Hours per Resident per Day
1.45195
Reported Total Nurse Staffing Hours per Resident per Day
4.04611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08831
Expected CNA Staffing Hours per Resident per Day
2.54390
Expected LPN Staffing Hours per Resident per Day
0.62573
Expected RN Staffing Hours per Resident per Day
1.00890
Expected Total Nurse Staffing Hours per Resident per Day
4.17852
Adjusted CNA Staffing Hours per Resident per Day
2.50218
Adjusted LPN Staffing Hours per Resident per Day
0.12920
Adjusted RN Staffing Hours per Resident per Day
1.00320
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90316
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-30
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
194
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
194
Total Weighted Health Survey Score
45.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
29933
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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