Michigan Nursing Homes >> Battle Creek Nursing Homes >> Evergreen Manor Senior Care Ce

Evergreen Manor Senior Care Ce - Battle Creek Nursing Home

General Information

UPDATE
Federal Provider Number
235054
Provider Name
EVERGREEN MANOR SENIOR CARE CE
Provider Address
111 EVERGREEN
BATTLE CREEK, MI 49015
Provider Phone Number
(269) 969-6110
Provider SSA County
120
Provider County Name
Calhoun
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
91
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN MANOR SENIOR CARE CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12191
Reported LPN Staffing Hours per Resident per Day
0.77472
Reported RN Staffing Hours per Resident per Day
0.52584
Reported Licensed Staffing Hours per Resident per Day
1.30056
Reported Total Nurse Staffing Hours per Resident per Day
3.42247
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06685
Expected CNA Staffing Hours per Resident per Day
2.76629
Expected LPN Staffing Hours per Resident per Day
0.69564
Expected RN Staffing Hours per Resident per Day
1.09562
Expected Total Nurse Staffing Hours per Resident per Day
4.55756
Adjusted CNA Staffing Hours per Resident per Day
1.88213
Adjusted LPN Staffing Hours per Resident per Day
0.92435
Adjusted RN Staffing Hours per Resident per Day
0.35862
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02698
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-01-17
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
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
24148
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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