Medilodge Of Southfield - Southfield Nursing Home
General Information
UPDATEFederal Provider Number
235296
Provider Name
MEDILODGE OF SOUTHFIELD
Provider Address
26715 GREENFIELD RD
SOUTHFIELD, MI 48076
SOUTHFIELD, MI 48076
Provider Phone Number
(248) 557-0050
Provider SSA County
620
Provider County Name
Oakland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
220
Number of Residents in Certified Beds
159
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHFIELD OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
4
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
2.36321
Reported LPN Staffing Hours per Resident per Day
0.49025
Reported RN Staffing Hours per Resident per Day
0.75252
Reported Licensed Staffing Hours per Resident per Day
1.24277
Reported Total Nurse Staffing Hours per Resident per Day
3.60598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16541
Expected CNA Staffing Hours per Resident per Day
2.54316
Expected LPN Staffing Hours per Resident per Day
0.65347
Expected RN Staffing Hours per Resident per Day
0.99160
Expected Total Nurse Staffing Hours per Resident per Day
4.18824
Adjusted CNA Staffing Hours per Resident per Day
2.28008
Adjusted LPN Staffing Hours per Resident per Day
0.62269
Adjusted RN Staffing Hours per Resident per Day
0.56704
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47052
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
88
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
88
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
167
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
167
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
121.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
25
Number of Fines
3
Total Amount of Fines in Dollars
106243
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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