Manor Of Southgate Skilled Nursing & Rehab - Southgate Nursing Home
General Information
UPDATEFederal Provider Number
235266
Provider Name
MANOR OF SOUTHGATE SKILLED NURSING & REHAB
Provider Address
15400 TRENTON ROAD
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
Provider Phone Number
(734) 284-4620
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RHEMA SOUTHGATE OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1975-11-01
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
3
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
2.11461
Reported LPN Staffing Hours per Resident per Day
0.97360
Reported RN Staffing Hours per Resident per Day
0.69438
Reported Licensed Staffing Hours per Resident per Day
1.66798
Reported Total Nurse Staffing Hours per Resident per Day
3.78259
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06910
Expected CNA Staffing Hours per Resident per Day
2.36522
Expected LPN Staffing Hours per Resident per Day
0.62843
Expected RN Staffing Hours per Resident per Day
1.03077
Expected Total Nurse Staffing Hours per Resident per Day
4.02442
Adjusted CNA Staffing Hours per Resident per Day
2.19372
Adjusted LPN Staffing Hours per Resident per Day
1.28588
Adjusted RN Staffing Hours per Resident per Day
0.50335
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78868
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
60
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
18
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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