Memorial Healthcare Center Ltc - Owosso Nursing Home
General Information
UPDATEFederal Provider Number
235472
Provider Name
MEMORIAL HEALTHCARE CENTER LTC
Provider Address
826 W KING ST
OWOSSO, MI 48867
OWOSSO, MI 48867
Provider Phone Number
(989) 723-5211
Provider SSA County
770
Provider County Name
Shiawassee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1988-08-16
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.39394
Reported LPN Staffing Hours per Resident per Day
1.45455
Reported RN Staffing Hours per Resident per Day
1.17727
Reported Licensed Staffing Hours per Resident per Day
2.63182
Reported Total Nurse Staffing Hours per Resident per Day
6.02576
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02576
Expected CNA Staffing Hours per Resident per Day
2.51628
Expected LPN Staffing Hours per Resident per Day
0.63198
Expected RN Staffing Hours per Resident per Day
1.03829
Expected Total Nurse Staffing Hours per Resident per Day
4.18655
Adjusted CNA Staffing Hours per Resident per Day
3.30953
Adjusted LPN Staffing Hours per Resident per Day
1.91030
Adjusted RN Staffing Hours per Resident per Day
0.84722
Adjusted Total Nurse Staffing Hours per Resident per Day
5.80173
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-02-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-04-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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