Holt Senior Care And Rehab Center, L L C - Holt Nursing Home
General Information
UPDATEFederal Provider Number
235279
Provider Name
HOLT SENIOR CARE AND REHAB CENTER, L L C
Provider Address
5091 WILLOUGHBY ROAD
HOLT, MI 48842
HOLT, MI 48842
Provider Phone Number
(517) 694-2144
Provider SSA County
320
Provider County Name
Ingham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLT SENIOR CARE AND REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
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
3
QM Rating Footnote
Staffing Rating
3
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
2.36889
Reported LPN Staffing Hours per Resident per Day
0.41111
Reported RN Staffing Hours per Resident per Day
0.82111
Reported Licensed Staffing Hours per Resident per Day
1.23222
Reported Total Nurse Staffing Hours per Resident per Day
3.60111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21833
Expected CNA Staffing Hours per Resident per Day
2.47009
Expected LPN Staffing Hours per Resident per Day
0.65918
Expected RN Staffing Hours per Resident per Day
1.14608
Expected Total Nurse Staffing Hours per Resident per Day
4.27535
Adjusted CNA Staffing Hours per Resident per Day
2.35317
Adjusted LPN Staffing Hours per Resident per Day
0.51764
Adjusted RN Staffing Hours per Resident per Day
0.53533
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39521
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
14
Cycle 1 Total Health Score
42
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
179
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
179
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
23498
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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