Huron Woods Nursing Center - Kawkawlin Nursing Home
General Information
UPDATEFederal Provider Number
235592
Provider Name
HURON WOODS NURSING CENTER
Provider Address
1395 S HURON RD
KAWKAWLIN, MI 48631
KAWKAWLIN, MI 48631
Provider Phone Number
(989) 684-3210
Provider SSA County
80
Provider County Name
Bay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEPLINSKI INVESTMENT INC
Date First Approved to Provide Medicare and Medicaid services
1999-10-20
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.89211
Reported LPN Staffing Hours per Resident per Day
0.57368
Reported RN Staffing Hours per Resident per Day
0.50439
Reported Licensed Staffing Hours per Resident per Day
1.07807
Reported Total Nurse Staffing Hours per Resident per Day
3.97018
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.58047
Expected LPN Staffing Hours per Resident per Day
0.63905
Expected RN Staffing Hours per Resident per Day
1.06193
Expected Total Nurse Staffing Hours per Resident per Day
4.28145
Adjusted CNA Staffing Hours per Resident per Day
2.75003
Adjusted LPN Staffing Hours per Resident per Day
0.74509
Adjusted RN Staffing Hours per Resident per Day
0.35490
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73785
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
16
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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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