North Ottawa Care Center - Spring Lake Nursing Home

General Information

UPDATE
Federal Provider Number
235373
Provider Name
NORTH OTTAWA CARE CENTER
Provider Address
18525 WOODLAND RIDGE DRIVE
SPRING LAKE, MI 49456
Provider Phone Number
(616) 842-0770
Provider SSA County
690
Provider County Name
Ottawa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
79
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
1978-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.63671
Reported LPN Staffing Hours per Resident per Day
0.56582
Reported RN Staffing Hours per Resident per Day
0.86266
Reported Licensed Staffing Hours per Resident per Day
1.42848
Reported Total Nurse Staffing Hours per Resident per Day
4.06519
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12089
Expected CNA Staffing Hours per Resident per Day
2.56548
Expected LPN Staffing Hours per Resident per Day
0.59389
Expected RN Staffing Hours per Resident per Day
0.91766
Expected Total Nurse Staffing Hours per Resident per Day
4.07703
Adjusted CNA Staffing Hours per Resident per Day
2.52183
Adjusted LPN Staffing Hours per Resident per Day
0.79077
Adjusted RN Staffing Hours per Resident per Day
0.70242
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01920
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
72
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
7
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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