Autumn Woods Residential Hlth - Warren Nursing Home
General Information
UPDATEFederal Provider Number
235427
Provider Name
AUTUMN WOODS RESIDENTIAL HLTH
Provider Address
29800 HOOVER RD
WARREN, MI 48093
WARREN, MI 48093
Provider Phone Number
(586) 574-3444
Provider SSA County
490
Provider County Name
Macomb
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
330
Number of Residents in Certified Beds
305
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUTUMN WOODS RESIDENTIAL HEALTH CARE FACILITY LLC
Date First Approved to Provide Medicare and Medicaid services
1983-01-27
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.41918
Reported LPN Staffing Hours per Resident per Day
0.58016
Reported RN Staffing Hours per Resident per Day
0.57705
Reported Licensed Staffing Hours per Resident per Day
1.15721
Reported Total Nurse Staffing Hours per Resident per Day
3.57639
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09623
Expected CNA Staffing Hours per Resident per Day
2.32050
Expected LPN Staffing Hours per Resident per Day
0.60558
Expected RN Staffing Hours per Resident per Day
1.00208
Expected Total Nurse Staffing Hours per Resident per Day
3.92817
Adjusted CNA Staffing Hours per Resident per Day
2.55804
Adjusted LPN Staffing Hours per Resident per Day
0.79516
Adjusted RN Staffing Hours per Resident per Day
0.43028
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66992
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
92
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
92
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-12-13
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
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
Number of Fines
1
Total Amount of Fines in Dollars
3640
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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