Autumnwood Of Deckerville - Deckerville Nursing Home
General Information
UPDATEFederal Provider Number
235446
Provider Name
AUTUMNWOOD OF DECKERVILLE
Provider Address
3387 ELLA ST
DECKERVILLE, MI 48427
DECKERVILLE, MI 48427
Provider Phone Number
(810) 376-2145
Provider SSA County
750
Provider County Name
Sanilac
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DECKERVILLE NURSING CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1985-10-03
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.23014
Reported LPN Staffing Hours per Resident per Day
0.69521
Reported RN Staffing Hours per Resident per Day
1.04384
Reported Licensed Staffing Hours per Resident per Day
1.73904
Reported Total Nurse Staffing Hours per Resident per Day
3.96919
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00959
Expected CNA Staffing Hours per Resident per Day
2.52418
Expected LPN Staffing Hours per Resident per Day
0.61345
Expected RN Staffing Hours per Resident per Day
0.95691
Expected Total Nurse Staffing Hours per Resident per Day
4.09454
Adjusted CNA Staffing Hours per Resident per Day
2.16787
Adjusted LPN Staffing Hours per Resident per Day
0.94063
Adjusted RN Staffing Hours per Resident per Day
0.81508
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90750
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
2014-11-07
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
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
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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