Cambridge South Healthcare Ctr - Beverly Hills Nursing Home
General Information
UPDATEFederal Provider Number
235664
Provider Name
CAMBRIDGE SOUTH HEALTHCARE CTR
Provider Address
18200 W 13 MILE ROAD
BEVERLY HILLS, MI 48025
BEVERLY HILLS, MI 48025
Provider Phone Number
(248) 647-6500
Provider SSA County
620
Provider County Name
Oakland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC BEVERLY HILLS OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
2013-05-10
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
2
QM Rating Footnote
Staffing Rating
2
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
1.53065
Reported LPN Staffing Hours per Resident per Day
0.79597
Reported RN Staffing Hours per Resident per Day
0.78548
Reported Licensed Staffing Hours per Resident per Day
1.58145
Reported Total Nurse Staffing Hours per Resident per Day
3.11210
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09435
Expected CNA Staffing Hours per Resident per Day
2.42259
Expected LPN Staffing Hours per Resident per Day
0.66289
Expected RN Staffing Hours per Resident per Day
1.11007
Expected Total Nurse Staffing Hours per Resident per Day
4.19555
Adjusted CNA Staffing Hours per Resident per Day
1.55030
Adjusted LPN Staffing Hours per Resident per Day
0.99664
Adjusted RN Staffing Hours per Resident per Day
0.52871
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98997
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
37.60000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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