Our Lady Of Mercy Health And Rehab - Hubbell Nursing Home
General Information
UPDATEFederal Provider Number
235551
Provider Name
OUR LADY OF MERCY HEALTH AND REHAB
Provider Address
52225 B AVENUE
HUBBELL, MI 49934
HUBBELL, MI 49934
Provider Phone Number
(906) 296-3301
Provider SSA County
300
Provider County Name
Houghton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF MERCY CONVALESCENT HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1994-06-24
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.56887
Reported LPN Staffing Hours per Resident per Day
0.16415
Reported RN Staffing Hours per Resident per Day
1.07642
Reported Licensed Staffing Hours per Resident per Day
1.24057
Reported Total Nurse Staffing Hours per Resident per Day
3.80944
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07170
Expected CNA Staffing Hours per Resident per Day
2.32340
Expected LPN Staffing Hours per Resident per Day
0.57318
Expected RN Staffing Hours per Resident per Day
0.84226
Expected Total Nurse Staffing Hours per Resident per Day
3.73884
Adjusted CNA Staffing Hours per Resident per Day
2.71294
Adjusted LPN Staffing Hours per Resident per Day
0.23770
Adjusted RN Staffing Hours per Resident per Day
0.95494
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10702
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
174
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
174
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
24
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5785
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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