Hickory Ridge Of Temperance - Temperance Nursing Home
General Information
UPDATEFederal Provider Number
235644
Provider Name
HICKORY RIDGE OF TEMPERANCE
Provider Address
951 HICKORY CREEK BOULEVARD
TEMPERANCE, MI 48182
TEMPERANCE, MI 48182
Provider Phone Number
(734) 206-8200
Provider SSA County
570
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASPEN RIDGE, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-02-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.01981
Reported LPN Staffing Hours per Resident per Day
1.09434
Reported RN Staffing Hours per Resident per Day
0.95660
Reported Licensed Staffing Hours per Resident per Day
2.05094
Reported Total Nurse Staffing Hours per Resident per Day
5.07075
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16604
Expected CNA Staffing Hours per Resident per Day
2.55462
Expected LPN Staffing Hours per Resident per Day
0.81385
Expected RN Staffing Hours per Resident per Day
1.53870
Expected Total Nurse Staffing Hours per Resident per Day
4.90717
Adjusted CNA Staffing Hours per Resident per Day
2.90052
Adjusted LPN Staffing Hours per Resident per Day
1.11606
Adjusted RN Staffing Hours per Resident per Day
0.46453
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16527
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
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
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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