Marycrest Manor - Livonia Nursing Home
General Information
UPDATEFederal Provider Number
235120
Provider Name
MARYCREST MANOR
Provider Address
15475 MIDDLEBELT RD
LIVONIA, MI 48154
LIVONIA, MI 48154
Provider Phone Number
(734) 427-9175
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
55
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY CONTINUING CARE SERVICES
Date First Approved to Provide Medicare and Medicaid services
1967-04-26
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
5
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
2.41860
Reported LPN Staffing Hours per Resident per Day
0.96977
Reported RN Staffing Hours per Resident per Day
0.93837
Reported Licensed Staffing Hours per Resident per Day
1.90814
Reported Total Nurse Staffing Hours per Resident per Day
4.32674
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22209
Expected CNA Staffing Hours per Resident per Day
2.43082
Expected LPN Staffing Hours per Resident per Day
0.60235
Expected RN Staffing Hours per Resident per Day
1.04830
Expected Total Nurse Staffing Hours per Resident per Day
4.08147
Adjusted CNA Staffing Hours per Resident per Day
2.44137
Adjusted LPN Staffing Hours per Resident per Day
1.33628
Adjusted RN Staffing Hours per Resident per Day
0.66884
Adjusted Total Nurse Staffing Hours per Resident per Day
4.27313
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-31
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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