Newaygo Co Medical Care Facili - Fremont Nursing Home

General Information

UPDATE
Federal Provider Number
235076
Provider Name
NEWAYGO CO MEDICAL CARE FACILI
Provider Address
4465 W 48TH ST
FREMONT, MI 49412
Provider Phone Number
(231) 924-2020
Provider SSA County
610
Provider County Name
Newaygo
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
116
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
3.16121
Reported LPN Staffing Hours per Resident per Day
0.38362
Reported RN Staffing Hours per Resident per Day
0.94483
Reported Licensed Staffing Hours per Resident per Day
1.32845
Reported Total Nurse Staffing Hours per Resident per Day
4.48966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00991
Expected CNA Staffing Hours per Resident per Day
2.28533
Expected LPN Staffing Hours per Resident per Day
0.56547
Expected RN Staffing Hours per Resident per Day
0.82815
Expected Total Nurse Staffing Hours per Resident per Day
3.67896
Adjusted CNA Staffing Hours per Resident per Day
3.39411
Adjusted LPN Staffing Hours per Resident per Day
0.56308
Adjusted RN Staffing Hours per Resident per Day
0.85247
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91916
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
16
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
171
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
171
Total Weighted Health Survey Score
71.16700
Number of Facility Reported Incidents
18
Number of Substantiated Complaints
9
Number of Fines
4
Total Amount of Fines in Dollars
32663
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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