Pine Ridge - A Rehabilitation And Nursing Center - Stevensville Nursing Home
General Information
UPDATEFederal Provider Number
235164
Provider Name
PINE RIDGE - A REHABILITATION AND NURSING CENTER
Provider Address
4368 CLEVELAND AVE
STEVENSVILLE, MI 49127
STEVENSVILLE, MI 49127
Provider Phone Number
(269) 983-6501
Provider SSA County
100
Provider County Name
Berrien
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERCY-MEMORIAL HEALTH SERVICES INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1978-06-30
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.63171
Reported LPN Staffing Hours per Resident per Day
0.59146
Reported RN Staffing Hours per Resident per Day
1.40366
Reported Licensed Staffing Hours per Resident per Day
1.99512
Reported Total Nurse Staffing Hours per Resident per Day
4.62683
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08902
Expected CNA Staffing Hours per Resident per Day
2.31149
Expected LPN Staffing Hours per Resident per Day
0.59476
Expected RN Staffing Hours per Resident per Day
0.94078
Expected Total Nurse Staffing Hours per Resident per Day
3.84702
Adjusted CNA Staffing Hours per Resident per Day
2.79363
Adjusted LPN Staffing Hours per Resident per Day
0.82540
Adjusted RN Staffing Hours per Resident per Day
1.11484
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84798
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-02-13
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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