Covenant Medical Center, Inc - Saginaw Nursing Home
General Information
UPDATEFederal Provider Number
235585
Provider Name
COVENANT MEDICAL CENTER, INC
Provider Address
515 N. MICHIGAN
SAGINAW, MI 48602
SAGINAW, MI 48602
Provider Phone Number
(989) 583-8103
Provider SSA County
720
Provider County Name
Saginaw
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
COVENANT MEDICAL CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1998-07-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
4
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
3.01875
Reported LPN Staffing Hours per Resident per Day
1.62500
Reported RN Staffing Hours per Resident per Day
2.70000
Reported Licensed Staffing Hours per Resident per Day
4.32500
Reported Total Nurse Staffing Hours per Resident per Day
7.34375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.42813
Expected CNA Staffing Hours per Resident per Day
3.22500
Expected LPN Staffing Hours per Resident per Day
1.68882
Expected RN Staffing Hours per Resident per Day
2.39262
Expected Total Nurse Staffing Hours per Resident per Day
7.30643
Adjusted CNA Staffing Hours per Resident per Day
2.29678
Adjusted LPN Staffing Hours per Resident per Day
0.79864
Adjusted RN Staffing Hours per Resident per Day
0.84319
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05149
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
103
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
103
Total Weighted Health Survey Score
35.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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