Manor Of Northwest Detroit Skilled Nursing And Reh - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235539
Provider Name
MANOR OF NORTHWEST DETROIT SKILLED NURSING AND REH
Provider Address
16181 HUBBELL ST
DETROIT, MI 48235
DETROIT, MI 48235
Provider Phone Number
(313) 273-8764
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RHEMA - NORTHWEST OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1993-09-02
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.04679
Reported LPN Staffing Hours per Resident per Day
0.98786
Reported RN Staffing Hours per Resident per Day
0.21929
Reported Licensed Staffing Hours per Resident per Day
1.20714
Reported Total Nurse Staffing Hours per Resident per Day
3.25394
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11286
Expected CNA Staffing Hours per Resident per Day
2.41601
Expected LPN Staffing Hours per Resident per Day
0.65417
Expected RN Staffing Hours per Resident per Day
1.03308
Expected Total Nurse Staffing Hours per Resident per Day
4.10326
Adjusted CNA Staffing Hours per Resident per Day
2.07872
Adjusted LPN Staffing Hours per Resident per Day
1.25339
Adjusted RN Staffing Hours per Resident per Day
0.15861
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19656
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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