Ely Manor - Allegan Nursing Home
General Information
UPDATEFederal Provider Number
235264
Provider Name
ELY MANOR
Provider Address
1200 ELY ST
ALLEGAN, MI 49010
ALLEGAN, MI 49010
Provider Phone Number
(269) 673-1500
Provider SSA County
20
Provider County Name
Allegan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLEGAN CARE OPERATING CO
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
1
Health Inspection Rating Footnote
QM Rating
5
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
2.19145
Reported LPN Staffing Hours per Resident per Day
0.65987
Reported RN Staffing Hours per Resident per Day
0.55000
Reported Licensed Staffing Hours per Resident per Day
1.20987
Reported Total Nurse Staffing Hours per Resident per Day
3.40132
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23092
Expected CNA Staffing Hours per Resident per Day
2.47991
Expected LPN Staffing Hours per Resident per Day
0.58507
Expected RN Staffing Hours per Resident per Day
0.92226
Expected Total Nurse Staffing Hours per Resident per Day
3.98724
Adjusted CNA Staffing Hours per Resident per Day
2.16829
Adjusted LPN Staffing Hours per Resident per Day
0.93611
Adjusted RN Staffing Hours per Resident per Day
0.44560
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43856
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
154
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
154
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2013-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
13
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
17578
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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