Laurels Of Carson City - Carson City Nursing Home

General Information

UPDATE
Federal Provider Number
235636
Provider Name
LAURELS OF CARSON CITY
Provider Address
620 NORTH SECOND STREET
CARSON CITY, MI 48811
Provider Phone Number
9895846100
Provider SSA County
580
Provider County Name
Montcalm
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE LAURELS OF CARSON CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-12-07
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.12805
Reported LPN Staffing Hours per Resident per Day
0.65183
Reported RN Staffing Hours per Resident per Day
0.75122
Reported Licensed Staffing Hours per Resident per Day
1.40305
Reported Total Nurse Staffing Hours per Resident per Day
3.53110
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03780
Expected CNA Staffing Hours per Resident per Day
2.57756
Expected LPN Staffing Hours per Resident per Day
0.70268
Expected RN Staffing Hours per Resident per Day
1.19484
Expected Total Nurse Staffing Hours per Resident per Day
4.47509
Adjusted CNA Staffing Hours per Resident per Day
2.02579
Adjusted LPN Staffing Hours per Resident per Day
0.76994
Adjusted RN Staffing Hours per Resident per Day
0.46978
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18061
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
24
Cycle 2 Standard Health Survey Date
2013-10-24
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
7963
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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