Lakeview Extended Care And Rehab - Harbor Beach Nursing Home
General Information
UPDATEFederal Provider Number
235295
Provider Name
LAKEVIEW EXTENDED CARE AND REHAB
Provider Address
210 SOUTH FIRST STREET
HARBOR BEACH, MI 48441
HARBOR BEACH, MI 48441
Provider Phone Number
(989) 479-3201
Provider SSA County
310
Provider County Name
Huron
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBOR BEACH COMMUNITY HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
1976-04-12
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.96087
Reported LPN Staffing Hours per Resident per Day
0.90217
Reported RN Staffing Hours per Resident per Day
1.01957
Reported Licensed Staffing Hours per Resident per Day
1.92174
Reported Total Nurse Staffing Hours per Resident per Day
4.88261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18043
Expected CNA Staffing Hours per Resident per Day
2.44860
Expected LPN Staffing Hours per Resident per Day
0.62916
Expected RN Staffing Hours per Resident per Day
0.88793
Expected Total Nurse Staffing Hours per Resident per Day
3.96569
Adjusted CNA Staffing Hours per Resident per Day
2.96703
Adjusted LPN Staffing Hours per Resident per Day
1.19016
Adjusted RN Staffing Hours per Resident per Day
0.85797
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96290
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-11
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
2
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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