Bortz Health Care Of Traverse City - Traverse City Nursing Home
General Information
UPDATEFederal Provider Number
235412
Provider Name
BORTZ HEALTH CARE OF TRAVERSE CITY
Provider Address
2828 CONCORD ST
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Provider Phone Number
(231) 941-1200
Provider SSA County
270
Provider County Name
Grand Traverse
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRAVERSE GERIATRIC VILLAGE, INC
Date First Approved to Provide Medicare and Medicaid services
1981-08-25
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
3.24493
Reported LPN Staffing Hours per Resident per Day
0.74130
Reported RN Staffing Hours per Resident per Day
0.96449
Reported Licensed Staffing Hours per Resident per Day
1.70580
Reported Total Nurse Staffing Hours per Resident per Day
4.95072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12101
Expected CNA Staffing Hours per Resident per Day
2.11415
Expected LPN Staffing Hours per Resident per Day
0.58428
Expected RN Staffing Hours per Resident per Day
0.97395
Expected Total Nurse Staffing Hours per Resident per Day
3.67238
Adjusted CNA Staffing Hours per Resident per Day
3.76609
Adjusted LPN Staffing Hours per Resident per Day
1.05305
Adjusted RN Staffing Hours per Resident per Day
0.73994
Adjusted Total Nurse Staffing Hours per Resident per Day
5.43404
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-20
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
12
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
14
Number of Substantiated Complaints
15
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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