Bortz Health Care Of West Branch - West Branch Nursing Home
General Information
UPDATEFederal Provider Number
235414
Provider Name
BORTZ HEALTH CARE OF WEST BRANCH
Provider Address
445 S VALLEY ST
WEST BRANCH, MI 48661
WEST BRANCH, MI 48661
Provider Phone Number
(989) 345-3600
Provider SSA County
640
Provider County Name
Ogemaw
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-07-01
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56304
Reported LPN Staffing Hours per Resident per Day
0.64203
Reported RN Staffing Hours per Resident per Day
0.61377
Reported Licensed Staffing Hours per Resident per Day
1.25580
Reported Total Nurse Staffing Hours per Resident per Day
3.81884
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07754
Expected CNA Staffing Hours per Resident per Day
2.07986
Expected LPN Staffing Hours per Resident per Day
0.58112
Expected RN Staffing Hours per Resident per Day
0.89869
Expected Total Nurse Staffing Hours per Resident per Day
3.55967
Adjusted CNA Staffing Hours per Resident per Day
3.02373
Adjusted LPN Staffing Hours per Resident per Day
0.91700
Adjusted RN Staffing Hours per Resident per Day
0.51031
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32438
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3413
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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