Harold And Grace Upjohn Commun - Kalamazoo Nursing Home
General Information
UPDATEFederal Provider Number
235050
Provider Name
HAROLD AND GRACE UPJOHN COMMUN
Provider Address
2400 PORTAGE ST
KALAMAZOO, MI 49001
KALAMAZOO, MI 49001
Provider Phone Number
(269) 381-4290
Provider SSA County
380
Provider County Name
Kalamazoo
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
118
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAROLD AND GRACE UPJOHN COMMUNITY CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.10045
Reported LPN Staffing Hours per Resident per Day
0.80360
Reported RN Staffing Hours per Resident per Day
1.06892
Reported Licensed Staffing Hours per Resident per Day
1.87252
Reported Total Nurse Staffing Hours per Resident per Day
4.97297
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15135
Expected CNA Staffing Hours per Resident per Day
2.27675
Expected LPN Staffing Hours per Resident per Day
0.59778
Expected RN Staffing Hours per Resident per Day
1.01481
Expected Total Nurse Staffing Hours per Resident per Day
3.88933
Adjusted CNA Staffing Hours per Resident per Day
3.34142
Adjusted LPN Staffing Hours per Resident per Day
1.11578
Adjusted RN Staffing Hours per Resident per Day
0.78704
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15398
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
16640
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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