Medilodge Of Milford - Milford Nursing Home
General Information
UPDATEFederal Provider Number
235650
Provider Name
MEDILODGE OF MILFORD
Provider Address
555 HIGHLAND AVE
MILFORD, MI 48381
MILFORD, MI 48381
Provider Phone Number
(248) 685-1460
Provider SSA County
620
Provider County Name
Oakland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILFORD OPCO LLC
Date First Approved to Provide Medicare and Medicaid services
2010-01-27
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
1.86442
Reported LPN Staffing Hours per Resident per Day
0.71971
Reported RN Staffing Hours per Resident per Day
1.41923
Reported Licensed Staffing Hours per Resident per Day
2.13894
Reported Total Nurse Staffing Hours per Resident per Day
4.00336
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13462
Expected CNA Staffing Hours per Resident per Day
2.27887
Expected LPN Staffing Hours per Resident per Day
0.79529
Expected RN Staffing Hours per Resident per Day
1.59348
Expected Total Nurse Staffing Hours per Resident per Day
4.66764
Adjusted CNA Staffing Hours per Resident per Day
2.00745
Adjusted LPN Staffing Hours per Resident per Day
0.75112
Adjusted RN Staffing Hours per Resident per Day
0.66549
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45724
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
9068
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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