Fountain View Of Monroe - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
235225
Provider Name
FOUNTAIN VIEW OF MONROE
Provider Address
1971 N MONROE STREET
MONROE, MI 48162
MONROE, MI 48162
Provider Phone Number
(734) 243-8800
Provider SSA County
570
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRENCHTOWN ACQUISITION COMPANY INC
Date First Approved to Provide Medicare and Medicaid services
1974-02-15
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
4
Health Inspection Rating Footnote
QM Rating
4
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
1.93421
Reported LPN Staffing Hours per Resident per Day
1.02895
Reported RN Staffing Hours per Resident per Day
0.74605
Reported Licensed Staffing Hours per Resident per Day
1.77500
Reported Total Nurse Staffing Hours per Resident per Day
3.70921
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08904
Expected CNA Staffing Hours per Resident per Day
2.32455
Expected LPN Staffing Hours per Resident per Day
0.64406
Expected RN Staffing Hours per Resident per Day
1.10711
Expected Total Nurse Staffing Hours per Resident per Day
4.07572
Adjusted CNA Staffing Hours per Resident per Day
2.04167
Adjusted LPN Staffing Hours per Resident per Day
1.32601
Adjusted RN Staffing Hours per Resident per Day
0.50352
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66842
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
8
Cycle 1 Standard Survey Health Date
2014-01-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-02-15
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
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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