Lakeshore Healthcare Skilled Nursing & Specialty C - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235468
Provider Name
LAKESHORE HEALTHCARE SKILLED NURSING & SPECIALTY C
Provider Address
9146 WOODWARD AVE
DETROIT, MI 48202
DETROIT, MI 48202
Provider Phone Number
(313) 875-1263
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LITTLE ROCK BAPTIST CHARITY CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-05-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.03990
Reported LPN Staffing Hours per Resident per Day
0.71683
Reported RN Staffing Hours per Resident per Day
0.33221
Reported Licensed Staffing Hours per Resident per Day
1.04904
Reported Total Nurse Staffing Hours per Resident per Day
3.08894
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05481
Expected CNA Staffing Hours per Resident per Day
2.05015
Expected LPN Staffing Hours per Resident per Day
0.61520
Expected RN Staffing Hours per Resident per Day
0.96957
Expected Total Nurse Staffing Hours per Resident per Day
3.63492
Adjusted CNA Staffing Hours per Resident per Day
2.44143
Adjusted LPN Staffing Hours per Resident per Day
0.96712
Adjusted RN Staffing Hours per Resident per Day
0.25602
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42544
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
195
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
195
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
122.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5200
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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