Canterbury-on-the-lake - Waterford Nursing Home
General Information
UPDATEFederal Provider Number
235555
Provider Name
CANTERBURY-ON-THE-LAKE
Provider Address
5601 HATCHERY RD
WATERFORD, MI 48329
WATERFORD, MI 48329
Provider Phone Number
2486749292
Provider SSA County
620
Provider County Name
Oakland
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CANTERBURY HEALTH CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31488
Reported LPN Staffing Hours per Resident per Day
1.39587
Reported RN Staffing Hours per Resident per Day
0.51570
Reported Licensed Staffing Hours per Resident per Day
1.91157
Reported Total Nurse Staffing Hours per Resident per Day
4.22645
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13099
Expected CNA Staffing Hours per Resident per Day
2.27987
Expected LPN Staffing Hours per Resident per Day
0.62888
Expected RN Staffing Hours per Resident per Day
1.12839
Expected Total Nurse Staffing Hours per Resident per Day
4.03714
Adjusted CNA Staffing Hours per Resident per Day
2.49138
Adjusted LPN Staffing Hours per Resident per Day
1.84228
Adjusted RN Staffing Hours per Resident per Day
0.34149
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21991
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2014-04-11
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
95.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
11
Number of Fines
3
Total Amount of Fines in Dollars
49020
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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