Clarkston Specialty Healthcare Center - Clarkston Nursing Home
General Information
UPDATEFederal Provider Number
235461
Provider Name
CLARKSTON SPECIALTY HEALTHCARE CENTER
Provider Address
4800 CLINTONVILLE RD
CLARKSTON, MI 48346
CLARKSTON, MI 48346
Provider Phone Number
2486740903
Provider SSA County
620
Provider County Name
Oakland
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARKSTON OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1987-02-03
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.32282
Reported LPN Staffing Hours per Resident per Day
0.62136
Reported RN Staffing Hours per Resident per Day
1.21117
Reported Licensed Staffing Hours per Resident per Day
1.83252
Reported Total Nurse Staffing Hours per Resident per Day
4.15535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05680
Expected CNA Staffing Hours per Resident per Day
2.44370
Expected LPN Staffing Hours per Resident per Day
0.79633
Expected RN Staffing Hours per Resident per Day
1.24323
Expected Total Nurse Staffing Hours per Resident per Day
4.48327
Adjusted CNA Staffing Hours per Resident per Day
2.33232
Adjusted LPN Staffing Hours per Resident per Day
0.64763
Adjusted RN Staffing Hours per Resident per Day
0.72793
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73607
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-08-29
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
20
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2014-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
33
Number of Substantiated Complaints
32
Number of Fines
1
Total Amount of Fines in Dollars
41250
Number of Payment Denials
2
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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