Heritage Manor Nursing And Rehab Center, Llc - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235234
Provider Name
HERITAGE MANOR NURSING AND REHAB CENTER, LLC
Provider Address
9500 GRAND RIVER AVE
DETROIT, MI 48204
DETROIT, MI 48204
Provider Phone Number
3134917920
Provider SSA County
810
Provider County Name
Wayne
Ownership Type
For profit - Individual
Number of Certified Beds
122
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR NURSING & REHAB CENTER
Date First Approved to Provide Medicare and Medicaid services
1974-10-01
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
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
0.78278
Reported LPN Staffing Hours per Resident per Day
1.02944
Reported RN Staffing Hours per Resident per Day
0.38111
Reported Licensed Staffing Hours per Resident per Day
1.41056
Reported Total Nurse Staffing Hours per Resident per Day
2.19333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06111
Expected CNA Staffing Hours per Resident per Day
2.14908
Expected LPN Staffing Hours per Resident per Day
0.52809
Expected RN Staffing Hours per Resident per Day
0.78585
Expected Total Nurse Staffing Hours per Resident per Day
3.46302
Adjusted CNA Staffing Hours per Resident per Day
0.89373
Adjusted LPN Staffing Hours per Resident per Day
1.61798
Adjusted RN Staffing Hours per Resident per Day
0.36236
Adjusted Total Nurse Staffing Hours per Resident per Day
2.55300
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
127
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
63.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
49173
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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