Orchard Creek Skilled Nursing - Traverse City Nursing Home
General Information
UPDATEFederal Provider Number
235611
Provider Name
ORCHARD CREEK SKILLED NURSING
Provider Address
9731 EAST CHERRY BEND ROAD
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Provider Phone Number
(231) 932-9272
Provider SSA County
440
Provider County Name
Leelanau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
19
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ORCHARD CREEK HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
2003-10-20
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.04474
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.37368
Reported Licensed Staffing Hours per Resident per Day
2.37368
Reported Total Nurse Staffing Hours per Resident per Day
5.41842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26316
Expected CNA Staffing Hours per Resident per Day
2.06935
Expected LPN Staffing Hours per Resident per Day
0.82449
Expected RN Staffing Hours per Resident per Day
1.76930
Expected Total Nurse Staffing Hours per Resident per Day
4.66313
Adjusted CNA Staffing Hours per Resident per Day
3.61026
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.00244
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68378
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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