Gilbert Residence (the) - Ypsilanti Nursing Home
General Information
UPDATEFederal Provider Number
230000000000000000000000000000
Provider Name
GILBERT RESIDENCE (THE)
Provider Address
203 S HURON ST
YPSILANTI, MI 48197
YPSILANTI, MI 48197
Provider Phone Number
(734) 482-9498
Provider SSA County
800
Provider County Name
Washtenaw
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
31
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.65806
Reported LPN Staffing Hours per Resident per Day
0.47258
Reported RN Staffing Hours per Resident per Day
0.70161
Reported Licensed Staffing Hours per Resident per Day
1.17419
Reported Total Nurse Staffing Hours per Resident per Day
3.83225
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01129
Expected CNA Staffing Hours per Resident per Day
2.33708
Expected LPN Staffing Hours per Resident per Day
0.58165
Expected RN Staffing Hours per Resident per Day
0.77896
Expected Total Nurse Staffing Hours per Resident per Day
3.69768
Adjusted CNA Staffing Hours per Resident per Day
2.79070
Adjusted LPN Staffing Hours per Resident per Day
0.67436
Adjusted RN Staffing Hours per Resident per Day
0.67301
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17760
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
2014-05-30
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
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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