Michigan Nursing Homes >> Fort Gratiot Nursing Homes >> Medilodge Of Port Huron

Medilodge Of Port Huron - Fort Gratiot Nursing Home

General Information

UPDATE
Federal Provider Number
235421
Provider Name
MEDILODGE OF PORT HURON
Provider Address
5635 LAKESHORE
FORT GRATIOT, MI 48059
Provider Phone Number
(810) 385-7447
Provider SSA County
730
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
127
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PORT HURON OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-02-12
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.81381
Reported LPN Staffing Hours per Resident per Day
0.76048
Reported RN Staffing Hours per Resident per Day
0.76190
Reported Licensed Staffing Hours per Resident per Day
1.52238
Reported Total Nurse Staffing Hours per Resident per Day
3.33619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08857
Expected CNA Staffing Hours per Resident per Day
2.46643
Expected LPN Staffing Hours per Resident per Day
0.73829
Expected RN Staffing Hours per Resident per Day
1.20471
Expected Total Nurse Staffing Hours per Resident per Day
4.40943
Adjusted CNA Staffing Hours per Resident per Day
1.80445
Adjusted LPN Staffing Hours per Resident per Day
0.85495
Adjusted RN Staffing Hours per Resident per Day
0.47255
Adjusted Total Nurse Staffing Hours per Resident per Day
3.04980
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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