Maple Manor Rehab Center - Wayne Nursing Home
General Information
UPDATEFederal Provider Number
235613
Provider Name
MAPLE MANOR REHAB CENTER
Provider Address
3999 VENOY ROAD
WAYNE, MI 48184
WAYNE, MI 48184
Provider Phone Number
(734) 727-0440
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
59
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE MANOR REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2004-05-27
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04898
Reported LPN Staffing Hours per Resident per Day
0.80510
Reported RN Staffing Hours per Resident per Day
1.55714
Reported Licensed Staffing Hours per Resident per Day
2.36224
Reported Total Nurse Staffing Hours per Resident per Day
5.41122
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39796
Expected CNA Staffing Hours per Resident per Day
2.30321
Expected LPN Staffing Hours per Resident per Day
0.64293
Expected RN Staffing Hours per Resident per Day
1.32513
Expected Total Nurse Staffing Hours per Resident per Day
4.27128
Adjusted CNA Staffing Hours per Resident per Day
3.24819
Adjusted LPN Staffing Hours per Resident per Day
1.03936
Adjusted RN Staffing Hours per Resident per Day
0.87802
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10669
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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