Martha T Berry Medical Care Facility, Macomb Count - Mount Clemens Nursing Home
General Information
UPDATEFederal Provider Number
235155
Provider Name
MARTHA T BERRY MEDICAL CARE FACILITY, MACOMB COUNT
Provider Address
43533 ELIZABETH RD
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
Provider Phone Number
5864695265
Provider SSA County
490
Provider County Name
Macomb
Ownership Type
For profit - Corporation
Number of Certified Beds
217
Number of Residents in Certified Beds
211
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MACOMB
Date First Approved to Provide Medicare and Medicaid services
1968-04-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
3.25972
Reported LPN Staffing Hours per Resident per Day
0.58057
Reported RN Staffing Hours per Resident per Day
0.67701
Reported Licensed Staffing Hours per Resident per Day
1.25758
Reported Total Nurse Staffing Hours per Resident per Day
4.51730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05379
Expected CNA Staffing Hours per Resident per Day
2.42727
Expected LPN Staffing Hours per Resident per Day
0.60809
Expected RN Staffing Hours per Resident per Day
0.94790
Expected Total Nurse Staffing Hours per Resident per Day
3.98325
Adjusted CNA Staffing Hours per Resident per Day
3.29522
Adjusted LPN Staffing Hours per Resident per Day
0.79244
Adjusted RN Staffing Hours per Resident per Day
0.53367
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57133
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
92
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
17
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
248
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
248
Total Weighted Health Survey Score
144.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
38
Number of Fines
3
Total Amount of Fines in Dollars
49043
Number of Payment Denials
2
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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