Autumnwood Of Livonia - Livonia Nursing Home
General Information
UPDATEFederal Provider Number
235479
Provider Name
AUTUMNWOOD OF LIVONIA
Provider Address
14900 MIDDLEBELT RD
LIVONIA, MI 48154
LIVONIA, MI 48154
Provider Phone Number
(734) 425-4200
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDDLEBELT HOPE ACQUISTION COMPANY INC
Date First Approved to Provide Medicare and Medicaid services
1989-01-06
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.22331
Reported LPN Staffing Hours per Resident per Day
1.09068
Reported RN Staffing Hours per Resident per Day
0.48602
Reported Licensed Staffing Hours per Resident per Day
1.57669
Reported Total Nurse Staffing Hours per Resident per Day
3.80001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02669
Expected CNA Staffing Hours per Resident per Day
2.48914
Expected LPN Staffing Hours per Resident per Day
0.67385
Expected RN Staffing Hours per Resident per Day
1.06039
Expected Total Nurse Staffing Hours per Resident per Day
4.22339
Adjusted CNA Staffing Hours per Resident per Day
2.19165
Adjusted LPN Staffing Hours per Resident per Day
1.34342
Adjusted RN Staffing Hours per Resident per Day
0.34247
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62682
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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