Medilodge Of Grand Blanc - Grand Blanc Nursing Home
General Information
UPDATEFederal Provider Number
235226
Provider Name
MEDILODGE OF GRAND BLANC
Provider Address
11941 BELSAY RD
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
Provider Phone Number
(810) 694-1970
Provider SSA County
240
Provider County Name
Genesee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND BLANC OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-10-01
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
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
3.16860
Reported LPN Staffing Hours per Resident per Day
1.32727
Reported RN Staffing Hours per Resident per Day
1.30785
Reported Licensed Staffing Hours per Resident per Day
2.63512
Reported Total Nurse Staffing Hours per Resident per Day
5.80372
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09463
Expected CNA Staffing Hours per Resident per Day
2.61607
Expected LPN Staffing Hours per Resident per Day
0.97250
Expected RN Staffing Hours per Resident per Day
1.52812
Expected Total Nurse Staffing Hours per Resident per Day
5.11669
Adjusted CNA Staffing Hours per Resident per Day
2.97193
Adjusted LPN Staffing Hours per Resident per Day
1.13279
Adjusted RN Staffing Hours per Resident per Day
0.63950
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57214
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
100
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
100
Cycle 3 Total Number of Health Deficiencies
44
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
29
Cycle 3 Health Deficiency Score
454
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
454
Total Weighted Health Survey Score
157.00000
Number of Facility Reported Incidents
20
Number of Substantiated Complaints
49
Number of Fines
4
Total Amount of Fines in Dollars
59444
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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