Fisher Senior Care And Rehab - Mayville Nursing Home
General Information
UPDATEFederal Provider Number
235606
Provider Name
FISHER SENIOR CARE AND REHAB
Provider Address
521 OHMER RD
MAYVILLE, MI 48744
MAYVILLE, MI 48744
Provider Phone Number
(989) 843-6185
Provider SSA County
780
Provider County Name
Tuscola
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
53
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TARTAN HEALTH CARE CORP.
Date First Approved to Provide Medicare and Medicaid services
2003-03-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83958
Reported LPN Staffing Hours per Resident per Day
0.54167
Reported RN Staffing Hours per Resident per Day
0.86875
Reported Licensed Staffing Hours per Resident per Day
1.41042
Reported Total Nurse Staffing Hours per Resident per Day
3.25000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04896
Expected CNA Staffing Hours per Resident per Day
2.64010
Expected LPN Staffing Hours per Resident per Day
0.69180
Expected RN Staffing Hours per Resident per Day
1.18829
Expected Total Nurse Staffing Hours per Resident per Day
4.52019
Adjusted CNA Staffing Hours per Resident per Day
1.70970
Adjusted LPN Staffing Hours per Resident per Day
0.64988
Adjusted RN Staffing Hours per Resident per Day
0.54627
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89820
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
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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