Lakeview Manor Healthcare Center - Tawas City Nursing Home
General Information
UPDATEFederal Provider Number
235515
Provider Name
LAKEVIEW MANOR HEALTHCARE CENTER
Provider Address
408 N FIFTH AVE
TAWAS CITY, MI 48763
TAWAS CITY, MI 48763
Provider Phone Number
9893622211
Provider SSA County
340
Provider County Name
Iosco
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEVIEW MANOR ACQUISITION COMPANY, INC
Date First Approved to Provide Medicare and Medicaid services
1992-02-10
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
2
QM Rating Footnote
Staffing Rating
3
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
2.33727
Reported LPN Staffing Hours per Resident per Day
0.43909
Reported RN Staffing Hours per Resident per Day
0.83273
Reported Licensed Staffing Hours per Resident per Day
1.27182
Reported Total Nurse Staffing Hours per Resident per Day
3.60909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.23062
Expected LPN Staffing Hours per Resident per Day
0.66169
Expected RN Staffing Hours per Resident per Day
1.23782
Expected Total Nurse Staffing Hours per Resident per Day
4.13013
Adjusted CNA Staffing Hours per Resident per Day
2.57101
Adjusted LPN Staffing Hours per Resident per Day
0.55078
Adjusted RN Staffing Hours per Resident per Day
0.50267
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52238
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Tendercare Tawas City
400 W North St |
TAWAS CITY MI 48763 | 0.2 mile away
Iosco Co Medical Care Facility
1201 Harris Ave |
TAWAS CITY MI 48763 | 0.5 mile away
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