Medilodge Of Monroe - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
235563
Provider Name
MEDILODGE OF MONROE
Provider Address
481 VILLAGE GREEN LANE
MONROE, MI 48162
MONROE, MI 48162
Provider Phone Number
(734) 242-6282
Provider SSA County
570
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
103
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONROE OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-08-01
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
4
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
2.14526
Reported LPN Staffing Hours per Resident per Day
0.88368
Reported RN Staffing Hours per Resident per Day
0.69842
Reported Licensed Staffing Hours per Resident per Day
1.58211
Reported Total Nurse Staffing Hours per Resident per Day
3.72736
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.55195
Expected LPN Staffing Hours per Resident per Day
0.71880
Expected RN Staffing Hours per Resident per Day
1.22717
Expected Total Nurse Staffing Hours per Resident per Day
4.49792
Adjusted CNA Staffing Hours per Resident per Day
2.06267
Adjusted LPN Staffing Hours per Resident per Day
1.02039
Adjusted RN Staffing Hours per Resident per Day
0.42525
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34035
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
8
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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