Pine River Healthcare Center - Saint Louis Nursing Home

General Information

UPDATE
Federal Provider Number
235324
Provider Name
PINE RIVER HEALTHCARE CENTER
Provider Address
1149 WEST MONROE RD
SAINT LOUIS, MI 48880
Provider Phone Number
9896813852
Provider SSA County
280
Provider County Name
Gratiot
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE RIVER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33672
Reported LPN Staffing Hours per Resident per Day
0.76563
Reported RN Staffing Hours per Resident per Day
0.63984
Reported Licensed Staffing Hours per Resident per Day
1.40547
Reported Total Nurse Staffing Hours per Resident per Day
3.74219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08906
Expected CNA Staffing Hours per Resident per Day
2.20244
Expected LPN Staffing Hours per Resident per Day
0.61498
Expected RN Staffing Hours per Resident per Day
0.97889
Expected Total Nurse Staffing Hours per Resident per Day
3.79631
Adjusted CNA Staffing Hours per Resident per Day
2.60330
Adjusted LPN Staffing Hours per Resident per Day
1.03333
Adjusted RN Staffing Hours per Resident per Day
0.48840
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97343
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
116
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
116
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
10500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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