Evangelical Home Sterling Heights - Sterling Heights Nursing Home
General Information
UPDATEFederal Provider Number
235473
Provider Name
EVANGELICAL HOME STERLING HEIGHTS
Provider Address
14900 SHORE LINE DR
STERLING HEIGHTS, MI 48313
STERLING HEIGHTS, MI 48313
Provider Phone Number
(586) 247-4700
Provider SSA County
490
Provider County Name
Macomb
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
132
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVANGELICAL HOMES OF MICHIGAN
Date First Approved to Provide Medicare and Medicaid services
1988-06-24
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.37063
Reported LPN Staffing Hours per Resident per Day
0.98651
Reported RN Staffing Hours per Resident per Day
1.22778
Reported Licensed Staffing Hours per Resident per Day
2.21429
Reported Total Nurse Staffing Hours per Resident per Day
4.58492
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20397
Expected CNA Staffing Hours per Resident per Day
2.40496
Expected LPN Staffing Hours per Resident per Day
0.65007
Expected RN Staffing Hours per Resident per Day
1.11859
Expected Total Nurse Staffing Hours per Resident per Day
4.17362
Adjusted CNA Staffing Hours per Resident per Day
2.41867
Adjusted LPN Staffing Hours per Resident per Day
1.25956
Adjusted RN Staffing Hours per Resident per Day
0.82014
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42814
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
99
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
99
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
67.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
8
Number of Fines
3
Total Amount of Fines in Dollars
9263
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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