Meadow Woods Nursing And Rehab Center - Bloomingdale Nursing Home
General Information
UPDATEFederal Provider Number
235640
Provider Name
MEADOW WOODS NURSING AND REHAB CENTER
Provider Address
42235 COUNTY ROAD 390
BLOOMINGDALE, MI 49026
BLOOMINGDALE, MI 49026
Provider Phone Number
(269) 521-3383
Provider SSA County
790
Provider County Name
Van Buren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOOMINGDALE CARE OPERATING CO LLC
Date First Approved to Provide Medicare and Medicaid services
2008-05-09
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.80952
Reported LPN Staffing Hours per Resident per Day
0.49683
Reported RN Staffing Hours per Resident per Day
0.50079
Reported Licensed Staffing Hours per Resident per Day
0.99762
Reported Total Nurse Staffing Hours per Resident per Day
3.80714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08413
Expected CNA Staffing Hours per Resident per Day
2.43621
Expected LPN Staffing Hours per Resident per Day
0.60575
Expected RN Staffing Hours per Resident per Day
0.96120
Expected Total Nurse Staffing Hours per Resident per Day
4.00317
Adjusted CNA Staffing Hours per Resident per Day
2.82969
Adjusted LPN Staffing Hours per Resident per Day
0.68075
Adjusted RN Staffing Hours per Resident per Day
0.38929
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83352
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
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
2013-04-05
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
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
3
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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