Cypress Manor Health And Rehabilitation Center - Hancock Nursing Home

General Information

UPDATE
Federal Provider Number
235552
Provider Name
CYPRESS MANOR HEALTH AND REHABILITATION CENTER
Provider Address
1400 POPLAR ST
HANCOCK, MI 49930
Provider Phone Number
(906) 482-6644
Provider SSA County
300
Provider County Name
Houghton
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
63
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CYPRESS HEALTHCARE, LLC
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
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.03922
Reported LPN Staffing Hours per Resident per Day
0.33922
Reported RN Staffing Hours per Resident per Day
0.91569
Reported Licensed Staffing Hours per Resident per Day
1.25490
Reported Total Nurse Staffing Hours per Resident per Day
3.29413
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03627
Expected CNA Staffing Hours per Resident per Day
2.20450
Expected LPN Staffing Hours per Resident per Day
0.60652
Expected RN Staffing Hours per Resident per Day
0.93741
Expected Total Nurse Staffing Hours per Resident per Day
3.74842
Adjusted CNA Staffing Hours per Resident per Day
2.26974
Adjusted LPN Staffing Hours per Resident per Day
0.46421
Adjusted RN Staffing Hours per Resident per Day
0.72989
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54237
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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