Magnumcare Of Adrian, Llc - Adrian Nursing Home

General Information

UPDATE
Federal Provider Number
235504
Provider Name
MAGNUMCARE OF ADRIAN, LLC
Provider Address
130 SAND CREEK HWY
ADRIAN, MI 49221
Provider Phone Number
(517) 265-6554
Provider SSA County
450
Provider County Name
Lenawee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAGNUM HEALTH AND REHAB OF ADRIAN LLC
Date First Approved to Provide Medicare and Medicaid services
1991-05-02
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.38506
Reported LPN Staffing Hours per Resident per Day
0.71149
Reported RN Staffing Hours per Resident per Day
0.26322
Reported Licensed Staffing Hours per Resident per Day
0.97471
Reported Total Nurse Staffing Hours per Resident per Day
3.35977
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01552
Expected CNA Staffing Hours per Resident per Day
2.38176
Expected LPN Staffing Hours per Resident per Day
0.60279
Expected RN Staffing Hours per Resident per Day
0.83809
Expected Total Nurse Staffing Hours per Resident per Day
3.82264
Adjusted CNA Staffing Hours per Resident per Day
2.45710
Adjusted LPN Staffing Hours per Resident per Day
0.97967
Adjusted RN Staffing Hours per Resident per Day
0.23467
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54281
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
131
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
131
Total Weighted Health Survey Score
44.50000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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