Jackson County Medical Care Facility - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
235019
Provider Name
JACKSON COUNTY MEDICAL CARE FACILITY
Provider Address
524 LANSING AVE
JACKSON, MI 49201
JACKSON, MI 49201
Provider Phone Number
(517) 782-8500
Provider SSA County
370
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
194
Number of Residents in Certified Beds
175
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON COUNTY MEDICAL CARE FACILITY
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.07086
Reported LPN Staffing Hours per Resident per Day
0.67857
Reported RN Staffing Hours per Resident per Day
1.13257
Reported Licensed Staffing Hours per Resident per Day
1.81114
Reported Total Nurse Staffing Hours per Resident per Day
4.88200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02257
Expected CNA Staffing Hours per Resident per Day
2.45376
Expected LPN Staffing Hours per Resident per Day
0.62246
Expected RN Staffing Hours per Resident per Day
0.94132
Expected Total Nurse Staffing Hours per Resident per Day
4.01754
Adjusted CNA Staffing Hours per Resident per Day
3.07078
Adjusted LPN Staffing Hours per Resident per Day
0.90481
Adjusted RN Staffing Hours per Resident per Day
0.89901
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89823
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
32
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
109.33300
Number of Facility Reported Incidents
33
Number of Substantiated Complaints
10
Number of Fines
3
Total Amount of Fines in Dollars
61668
Number of Payment Denials
2
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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