Friendship Village - Kalamazoo Nursing Home

General Information

UPDATE
Federal Provider Number
235248
Provider Name
FRIENDSHIP VILLAGE
Provider Address
1400 N DRAKE RD
KALAMAZOO, MI 49006
Provider Phone Number
2693810560
Provider SSA County
380
Provider County Name
Kalamazoo
Ownership Type
Non profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
51
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIFECARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.82451
Reported LPN Staffing Hours per Resident per Day
0.74118
Reported RN Staffing Hours per Resident per Day
0.89020
Reported Licensed Staffing Hours per Resident per Day
1.63137
Reported Total Nurse Staffing Hours per Resident per Day
4.45589
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11863
Expected CNA Staffing Hours per Resident per Day
2.32560
Expected LPN Staffing Hours per Resident per Day
0.61737
Expected RN Staffing Hours per Resident per Day
1.12561
Expected Total Nurse Staffing Hours per Resident per Day
4.06859
Adjusted CNA Staffing Hours per Resident per Day
2.98009
Adjusted LPN Staffing Hours per Resident per Day
0.99645
Adjusted RN Staffing Hours per Resident per Day
0.59093
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41461
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
34
Cycle 1 Total Health Score
102
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-19
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
67.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
27528
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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