Bayside Village - L' Anse Nursing Home
General Information
UPDATEFederal Provider Number
235144
Provider Name
BAYSIDE VILLAGE
Provider Address
832 SICOTTE ST
L' ANSE, MI 49946
L' ANSE, MI 49946
Provider Phone Number
(906) 524-6531
Provider SSA County
60
Provider County Name
Baraga
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
59
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BARAGA COUNTY EXTENDED CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1977-12-01
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
4
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
2.58909
Reported LPN Staffing Hours per Resident per Day
0.10364
Reported RN Staffing Hours per Resident per Day
1.28455
Reported Licensed Staffing Hours per Resident per Day
1.38818
Reported Total Nurse Staffing Hours per Resident per Day
3.97728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04182
Expected CNA Staffing Hours per Resident per Day
2.23075
Expected LPN Staffing Hours per Resident per Day
0.53246
Expected RN Staffing Hours per Resident per Day
0.74130
Expected Total Nurse Staffing Hours per Resident per Day
3.50451
Adjusted CNA Staffing Hours per Resident per Day
2.84785
Adjusted LPN Staffing Hours per Resident per Day
0.16155
Adjusted RN Staffing Hours per Resident per Day
1.29477
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57468
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-02-28
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
44.66700
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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