Crestmont Nursing Care Center - Fenton Nursing Home
General Information
UPDATEFederal Provider Number
235348
Provider Name
CRESTMONT NURSING CARE CENTER
Provider Address
111 TREALOUT DR
FENTON, MI 48430
FENTON, MI 48430
Provider Phone Number
(810) 629-4105
Provider SSA County
240
Provider County Name
Genesee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC FENTON OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01944
Reported LPN Staffing Hours per Resident per Day
0.74306
Reported RN Staffing Hours per Resident per Day
0.65741
Reported Licensed Staffing Hours per Resident per Day
1.40046
Reported Total Nurse Staffing Hours per Resident per Day
3.41991
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06019
Expected CNA Staffing Hours per Resident per Day
2.37203
Expected LPN Staffing Hours per Resident per Day
0.66269
Expected RN Staffing Hours per Resident per Day
1.06286
Expected Total Nurse Staffing Hours per Resident per Day
4.09759
Adjusted CNA Staffing Hours per Resident per Day
2.08897
Adjusted LPN Staffing Hours per Resident per Day
0.93065
Adjusted RN Staffing Hours per Resident per Day
0.46216
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36425
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-05-16
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
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
40
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
32
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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