Manistee County Medical Care Facility - Manistee Nursing Home

General Information

UPDATE
Federal Provider Number
235003
Provider Name
MANISTEE COUNTY MEDICAL CARE FACILITY
Provider Address
1505 E PARKDALE AVENUE
MANISTEE, MI 49660
Provider Phone Number
2317232543
Provider SSA County
500
Provider County Name
Manistee
Ownership Type
Government - County
Number of Certified Beds
107
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANISTEE COUNTY MEDICAL CARE
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67653
Reported LPN Staffing Hours per Resident per Day
0.39286
Reported RN Staffing Hours per Resident per Day
0.97245
Reported Licensed Staffing Hours per Resident per Day
1.36531
Reported Total Nurse Staffing Hours per Resident per Day
4.04184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06276
Expected CNA Staffing Hours per Resident per Day
2.53072
Expected LPN Staffing Hours per Resident per Day
0.65042
Expected RN Staffing Hours per Resident per Day
1.04810
Expected Total Nurse Staffing Hours per Resident per Day
4.22923
Adjusted CNA Staffing Hours per Resident per Day
2.59508
Adjusted LPN Staffing Hours per Resident per Day
0.50133
Adjusted RN Staffing Hours per Resident per Day
0.69327
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85230
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
12
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-11-22
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
3
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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