Ambassador Nursing And Rehabilitation Center - Detroit Nursing Home

General Information

UPDATE
Federal Provider Number
235102
Provider Name
AMBASSADOR NURSING AND REHABILITATION CENTER
Provider Address
8045 E JEFFERSON AVE
DETROIT, MI 48214
Provider Phone Number
(313) 821-3525
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
152
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
1967-01-06
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72467
Reported LPN Staffing Hours per Resident per Day
1.21711
Reported RN Staffing Hours per Resident per Day
0.44079
Reported Licensed Staffing Hours per Resident per Day
1.65789
Reported Total Nurse Staffing Hours per Resident per Day
4.38257
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12204
Expected CNA Staffing Hours per Resident per Day
2.35811
Expected LPN Staffing Hours per Resident per Day
0.61891
Expected RN Staffing Hours per Resident per Day
1.04434
Expected Total Nurse Staffing Hours per Resident per Day
4.02136
Adjusted CNA Staffing Hours per Resident per Day
2.83512
Adjusted LPN Staffing Hours per Resident per Day
1.63222
Adjusted RN Staffing Hours per Resident per Day
0.31537
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39296
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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