Freeman Nursing & Rehab Community - Kingsford Nursing Home
General Information
UPDATEFederal Provider Number
235612
Provider Name
FREEMAN NURSING & REHAB COMMUNITY
Provider Address
1805 PYLE DRIVE
KINGSFORD, MI 49802
KINGSFORD, MI 49802
Provider Phone Number
(906) 774-1530
Provider SSA County
210
Provider County Name
Dickinson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATRIUM FREEMAN, INC.
Date First Approved to Provide Medicare and Medicaid services
2004-04-28
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.96829
Reported LPN Staffing Hours per Resident per Day
0.57195
Reported RN Staffing Hours per Resident per Day
0.77317
Reported Licensed Staffing Hours per Resident per Day
1.34512
Reported Total Nurse Staffing Hours per Resident per Day
3.31341
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02439
Expected CNA Staffing Hours per Resident per Day
2.44411
Expected LPN Staffing Hours per Resident per Day
0.59767
Expected RN Staffing Hours per Resident per Day
0.98025
Expected Total Nurse Staffing Hours per Resident per Day
4.02204
Adjusted CNA Staffing Hours per Resident per Day
1.97601
Adjusted LPN Staffing Hours per Resident per Day
0.79428
Adjusted RN Staffing Hours per Resident per Day
0.58935
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32071
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
40
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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