Hazel I Findlay Country Manor - Saint Johns Nursing Home
General Information
UPDATEFederal Provider Number
235602
Provider Name
HAZEL I FINDLAY COUNTRY MANOR
Provider Address
1101 S SCOTT RD
SAINT JOHNS, MI 48879
SAINT JOHNS, MI 48879
Provider Phone Number
(989) 224-8936
Provider SSA County
180
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLINTON AREA CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
2002-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
4.71313
Reported LPN Staffing Hours per Resident per Day
1.26263
Reported RN Staffing Hours per Resident per Day
1.11313
Reported Licensed Staffing Hours per Resident per Day
2.37576
Reported Total Nurse Staffing Hours per Resident per Day
7.08889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08535
Expected CNA Staffing Hours per Resident per Day
2.43229
Expected LPN Staffing Hours per Resident per Day
0.60059
Expected RN Staffing Hours per Resident per Day
0.91331
Expected Total Nurse Staffing Hours per Resident per Day
3.94619
Adjusted CNA Staffing Hours per Resident per Day
4.75461
Adjusted LPN Staffing Hours per Resident per Day
1.74491
Adjusted RN Staffing Hours per Resident per Day
0.91068
Adjusted Total Nurse Staffing Hours per Resident per Day
7.24106
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
10
Cycle 1 Total Health Score
30
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
30
Cycle 2 Total Health Score
90
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
54.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
13
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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