Michigan Christian Home - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235633
Provider Name
MICHIGAN CHRISTIAN HOME
Provider Address
1845 BOSTON BLVD S E
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
Provider Phone Number
(616) 245-9179
Provider SSA County
400
Provider County Name
Kent
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
29
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MICHIGAN CHRISTIAN HOME
Date First Approved to Provide Medicare and Medicaid services
2008-02-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.03571
Reported LPN Staffing Hours per Resident per Day
0.48929
Reported RN Staffing Hours per Resident per Day
0.75893
Reported Licensed Staffing Hours per Resident per Day
1.24821
Reported Total Nurse Staffing Hours per Resident per Day
4.28393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04821
Expected CNA Staffing Hours per Resident per Day
2.42212
Expected LPN Staffing Hours per Resident per Day
0.53981
Expected RN Staffing Hours per Resident per Day
0.80367
Expected Total Nurse Staffing Hours per Resident per Day
3.76560
Adjusted CNA Staffing Hours per Resident per Day
3.07528
Adjusted LPN Staffing Hours per Resident per Day
0.75233
Adjusted RN Staffing Hours per Resident per Day
0.70561
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58575
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
16
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
8
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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