Michigan Nursing Homes >> East China Nursing Homes >> Medilodge Of St Clair

Medilodge Of St Clair - East China Nursing Home

General Information

UPDATE
Federal Provider Number
235370
Provider Name
MEDILODGE OF ST CLAIR
Provider Address
4220 S HOSPITAL DR
EAST CHINA, MI 48054
Provider Phone Number
8103294736
Provider SSA County
730
Provider County Name
St. Clair
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. CLAIR OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.19050
Reported LPN Staffing Hours per Resident per Day
0.81281
Reported RN Staffing Hours per Resident per Day
0.84669
Reported Licensed Staffing Hours per Resident per Day
1.65950
Reported Total Nurse Staffing Hours per Resident per Day
3.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09752
Expected CNA Staffing Hours per Resident per Day
2.41660
Expected LPN Staffing Hours per Resident per Day
0.69637
Expected RN Staffing Hours per Resident per Day
1.27343
Expected Total Nurse Staffing Hours per Resident per Day
4.38640
Adjusted CNA Staffing Hours per Resident per Day
2.22413
Adjusted LPN Staffing Hours per Resident per Day
0.96878
Adjusted RN Staffing Hours per Resident per Day
0.49680
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53797
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-13
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6143
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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