Bloomfield Orchard Villa - West Bloomfield Nursing Home
General Information
UPDATEFederal Provider Number
235562
Provider Name
BLOOMFIELD ORCHARD VILLA
Provider Address
7277 RICHARDSON RD
WEST BLOOMFIELD, MI 48323
WEST BLOOMFIELD, MI 48323
Provider Phone Number
2483604443
Provider SSA County
620
Provider County Name
Oakland
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOOMFIELD ACQUISITION CO INC.
Date First Approved to Provide Medicare and Medicaid services
1995-08-07
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94300
Reported LPN Staffing Hours per Resident per Day
1.03100
Reported RN Staffing Hours per Resident per Day
0.70100
Reported Licensed Staffing Hours per Resident per Day
1.73200
Reported Total Nurse Staffing Hours per Resident per Day
3.67500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12000
Expected CNA Staffing Hours per Resident per Day
2.41470
Expected LPN Staffing Hours per Resident per Day
0.57368
Expected RN Staffing Hours per Resident per Day
0.96431
Expected Total Nurse Staffing Hours per Resident per Day
3.95269
Adjusted CNA Staffing Hours per Resident per Day
1.97438
Adjusted LPN Staffing Hours per Resident per Day
1.49166
Adjusted RN Staffing Hours per Resident per Day
0.54317
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74772
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
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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