Grace Of Douglas - Douglas Nursing Home
General Information
UPDATEFederal Provider Number
235447
Provider Name
GRACE OF DOUGLAS
Provider Address
243 WILEY ROAD, PO BOX 217
DOUGLAS, MI 49406
DOUGLAS, MI 49406
Provider Phone Number
(269) 857-2141
Provider SSA County
20
Provider County Name
Allegan
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
51
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DOUGLAS INVESTMENTS & ASSOCIATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-03-18
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.23222
Reported LPN Staffing Hours per Resident per Day
0.82444
Reported RN Staffing Hours per Resident per Day
0.85333
Reported Licensed Staffing Hours per Resident per Day
1.67778
Reported Total Nurse Staffing Hours per Resident per Day
3.90999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05889
Expected CNA Staffing Hours per Resident per Day
2.32038
Expected LPN Staffing Hours per Resident per Day
0.61267
Expected RN Staffing Hours per Resident per Day
0.96298
Expected Total Nurse Staffing Hours per Resident per Day
3.89603
Adjusted CNA Staffing Hours per Resident per Day
2.36047
Adjusted LPN Staffing Hours per Resident per Day
1.11689
Adjusted RN Staffing Hours per Resident per Day
0.66212
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04534
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
20
Number of Substantiated Complaints
6
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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