Marywood Health Center - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235667
Provider Name
MARYWOOD HEALTH CENTER
Provider Address
111 LAKESIDE DRIVE, NE
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Provider Phone Number
(616) 456-1993
Provider SSA County
400
Provider County Name
Kent
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
20
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARYWOOD HEALTH CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2013-09-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
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
2.92759
Reported LPN Staffing Hours per Resident per Day
1.95690
Reported RN Staffing Hours per Resident per Day
2.26724
Reported Licensed Staffing Hours per Resident per Day
4.22414
Reported Total Nurse Staffing Hours per Resident per Day
7.15173
Reported Physical Therapist Staffing Hours per Resident Per Day
0.39483
Expected CNA Staffing Hours per Resident per Day
2.32211
Expected LPN Staffing Hours per Resident per Day
0.67713
Expected RN Staffing Hours per Resident per Day
1.31767
Expected Total Nurse Staffing Hours per Resident per Day
4.31691
Adjusted CNA Staffing Hours per Resident per Day
3.09349
Adjusted LPN Staffing Hours per Resident per Day
2.39868
Adjusted RN Staffing Hours per Resident per Day
1.28566
Adjusted Total Nurse Staffing Hours per Resident per Day
6.67790
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.40000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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