Allegan County Medical Care Fa - Allegan Nursing Home
General Information
UPDATEFederal Provider Number
235213
Provider Name
ALLEGAN COUNTY MEDICAL CARE FA
Provider Address
3265 122ND AVE R2
ALLEGAN, MI 49010
ALLEGAN, MI 49010
Provider Phone Number
(269) 673-2102
Provider SSA County
20
Provider County Name
Allegan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
70
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1971-12-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
4.10076
Reported LPN Staffing Hours per Resident per Day
0.70076
Reported RN Staffing Hours per Resident per Day
0.96970
Reported Licensed Staffing Hours per Resident per Day
1.67045
Reported Total Nurse Staffing Hours per Resident per Day
5.77122
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06515
Expected CNA Staffing Hours per Resident per Day
2.48058
Expected LPN Staffing Hours per Resident per Day
0.61117
Expected RN Staffing Hours per Resident per Day
0.94850
Expected Total Nurse Staffing Hours per Resident per Day
4.04025
Adjusted CNA Staffing Hours per Resident per Day
4.05633
Adjusted LPN Staffing Hours per Resident per Day
0.95166
Adjusted RN Staffing Hours per Resident per Day
0.76390
Adjusted Total Nurse Staffing Hours per Resident per Day
5.75787
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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