Christian Rest Home Assoc - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235339
Provider Name
CHRISTIAN REST HOME ASSOC
Provider Address
1000 EDISON AVE NW
GRAND RAPIDS, MI 49504
GRAND RAPIDS, MI 49504
Provider Phone Number
6164532475
Provider SSA County
400
Provider County Name
Kent
Ownership Type
Non profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN REST HOME ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.27717
Reported LPN Staffing Hours per Resident per Day
0.84167
Reported RN Staffing Hours per Resident per Day
0.70616
Reported Licensed Staffing Hours per Resident per Day
1.54783
Reported Total Nurse Staffing Hours per Resident per Day
4.82500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06304
Expected CNA Staffing Hours per Resident per Day
2.44219
Expected LPN Staffing Hours per Resident per Day
0.57972
Expected RN Staffing Hours per Resident per Day
0.87245
Expected Total Nurse Staffing Hours per Resident per Day
3.89436
Adjusted CNA Staffing Hours per Resident per Day
3.29262
Adjusted LPN Staffing Hours per Resident per Day
1.20503
Adjusted RN Staffing Hours per Resident per Day
0.60478
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99417
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
16
Cycle 2 Standard Health Survey Date
2014-02-13
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
143
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
143
Total Weighted Health Survey Score
51.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Pilgrim Manor
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Marywood Health Center
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