Medilodge Of Montrose Inc - Montrose Nursing Home
General Information
UPDATEFederal Provider Number
235600
Provider Name
MEDILODGE OF MONTROSE INC
Provider Address
9317 W VIENNA RD
MONTROSE, MI 48457
MONTROSE, MI 48457
Provider Phone Number
8106396171
Provider SSA County
240
Provider County Name
Genesee
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDILODGE OF MONTROSE, INC.
Date First Approved to Provide Medicare and Medicaid services
2002-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.45591
Reported LPN Staffing Hours per Resident per Day
0.11136
Reported RN Staffing Hours per Resident per Day
1.70182
Reported Licensed Staffing Hours per Resident per Day
1.81318
Reported Total Nurse Staffing Hours per Resident per Day
4.26909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10773
Expected CNA Staffing Hours per Resident per Day
2.45408
Expected LPN Staffing Hours per Resident per Day
0.72585
Expected RN Staffing Hours per Resident per Day
1.30559
Expected Total Nurse Staffing Hours per Resident per Day
4.48552
Adjusted CNA Staffing Hours per Resident per Day
2.45553
Adjusted LPN Staffing Hours per Resident per Day
0.12734
Adjusted RN Staffing Hours per Resident per Day
0.97397
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83641
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
1
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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