Fox Run Village - Novi Nursing Home

General Information

UPDATE
Federal Provider Number
235634
Provider Name
FOX RUN VILLAGE
Provider Address
41215 FOX RUN ROAD
NOVI, MI 48377
Provider Phone Number
2486688720
Provider SSA County
620
Provider County Name
Oakland
Ownership Type
Non profit - Other
Number of Certified Beds
88
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOX RUN VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
2007-08-17
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.94351
Reported LPN Staffing Hours per Resident per Day
1.46623
Reported RN Staffing Hours per Resident per Day
0.88571
Reported Licensed Staffing Hours per Resident per Day
2.35195
Reported Total Nurse Staffing Hours per Resident per Day
5.29545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29091
Expected CNA Staffing Hours per Resident per Day
2.47986
Expected LPN Staffing Hours per Resident per Day
0.77263
Expected RN Staffing Hours per Resident per Day
1.43253
Expected Total Nurse Staffing Hours per Resident per Day
4.68503
Adjusted CNA Staffing Hours per Resident per Day
2.91246
Adjusted LPN Staffing Hours per Resident per Day
1.57509
Adjusted RN Staffing Hours per Resident per Day
0.46198
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55610
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
11
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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