Holland Home Breton Rehabilitation & Living Centre - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235540
Provider Name
HOLLAND HOME BRETON REHABILITATION & LIVING CENTRE
Provider Address
2589 44TH ST SE
GRAND RAPIDS, MI 49512
GRAND RAPIDS, MI 49512
Provider Phone Number
6166432500
Provider SSA County
400
Provider County Name
Kent
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLAND HOME
Date First Approved to Provide Medicare and Medicaid services
1993-09-10
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59727
Reported LPN Staffing Hours per Resident per Day
0.69545
Reported RN Staffing Hours per Resident per Day
0.86182
Reported Licensed Staffing Hours per Resident per Day
1.55727
Reported Total Nurse Staffing Hours per Resident per Day
4.15454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09000
Expected CNA Staffing Hours per Resident per Day
2.60054
Expected LPN Staffing Hours per Resident per Day
0.66170
Expected RN Staffing Hours per Resident per Day
1.12889
Expected Total Nurse Staffing Hours per Resident per Day
4.39114
Adjusted CNA Staffing Hours per Resident per Day
2.45061
Adjusted LPN Staffing Hours per Resident per Day
0.87233
Adjusted RN Staffing Hours per Resident per Day
0.57043
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81371
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
8
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-31
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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