Healthsource Saginaw, Inc - Saginaw Nursing Home
General Information
UPDATEFederal Provider Number
235150
Provider Name
HEALTHSOURCE SAGINAW, INC
Provider Address
3340 HOSPITAL RD
SAGINAW, MI 48608
SAGINAW, MI 48608
Provider Phone Number
(989) 790-7700
Provider SSA County
720
Provider County Name
Saginaw
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
213
Number of Residents in Certified Beds
204
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HEALTHSOURCE SAGINAW INC
Date First Approved to Provide Medicare and Medicaid services
1968-02-23
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56569
Reported LPN Staffing Hours per Resident per Day
0.94240
Reported RN Staffing Hours per Resident per Day
0.54363
Reported Licensed Staffing Hours per Resident per Day
1.48603
Reported Total Nurse Staffing Hours per Resident per Day
4.05172
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05931
Expected CNA Staffing Hours per Resident per Day
2.36730
Expected LPN Staffing Hours per Resident per Day
0.63988
Expected RN Staffing Hours per Resident per Day
1.10375
Expected Total Nurse Staffing Hours per Resident per Day
4.11093
Adjusted CNA Staffing Hours per Resident per Day
2.65934
Adjusted LPN Staffing Hours per Resident per Day
1.22240
Adjusted RN Staffing Hours per Resident per Day
0.36802
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97284
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
18
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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