Lakeshore Healthcare Elmwood Campus, Inc - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235454
Provider Name
LAKESHORE HEALTHCARE ELMWOOD CAMPUS, INC
Provider Address
1881 E GRAND BLVD
DETROIT, MI 48211
DETROIT, MI 48211
Provider Phone Number
(313) 922-1600
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKESHORE HEALTHCARE ELMWOOD CAMPUS, INC.
Date First Approved to Provide Medicare and Medicaid services
1986-06-13
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.42933
Reported LPN Staffing Hours per Resident per Day
1.07933
Reported RN Staffing Hours per Resident per Day
0.46467
Reported Licensed Staffing Hours per Resident per Day
1.54400
Reported Total Nurse Staffing Hours per Resident per Day
3.97333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08933
Expected CNA Staffing Hours per Resident per Day
2.03103
Expected LPN Staffing Hours per Resident per Day
0.55795
Expected RN Staffing Hours per Resident per Day
0.76798
Expected Total Nurse Staffing Hours per Resident per Day
3.35697
Adjusted CNA Staffing Hours per Resident per Day
2.93488
Adjusted LPN Staffing Hours per Resident per Day
1.60559
Adjusted RN Staffing Hours per Resident per Day
0.45210
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77100
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
1
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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