Bronson Commons - Mattawan Nursing Home
General Information
UPDATEFederal Provider Number
235434
Provider Name
BRONSON COMMONS
Provider Address
23332 RED ARROW HIGHWAY
MATTAWAN, MI 49071
MATTAWAN, MI 49071
Provider Phone Number
(269) 283-5200
Provider SSA County
790
Provider County Name
Van Buren
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
95
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
1984-08-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.07895
Reported LPN Staffing Hours per Resident per Day
0.47895
Reported RN Staffing Hours per Resident per Day
1.20316
Reported Licensed Staffing Hours per Resident per Day
1.68211
Reported Total Nurse Staffing Hours per Resident per Day
4.76106
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17053
Expected CNA Staffing Hours per Resident per Day
2.58268
Expected LPN Staffing Hours per Resident per Day
0.68216
Expected RN Staffing Hours per Resident per Day
1.06086
Expected Total Nurse Staffing Hours per Resident per Day
4.32569
Adjusted CNA Staffing Hours per Resident per Day
2.92519
Adjusted LPN Staffing Hours per Resident per Day
0.58275
Adjusted RN Staffing Hours per Resident per Day
0.84743
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43660
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
84
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
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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