Pinecrest Medical Care Facility - Powers Nursing Home
General Information
UPDATEFederal Provider Number
235069
Provider Name
PINECREST MEDICAL CARE FACILITY
Provider Address
N15995 MAIN STREET
POWERS, MI 49874
POWERS, MI 49874
Provider Phone Number
(906) 497-5244
Provider SSA County
540
Provider County Name
Menominee
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
140
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINECREST MEDICAL CARE FACILITY
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
3.07786
Reported LPN Staffing Hours per Resident per Day
0.95420
Reported RN Staffing Hours per Resident per Day
0.49618
Reported Licensed Staffing Hours per Resident per Day
1.45038
Reported Total Nurse Staffing Hours per Resident per Day
4.52824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04351
Expected CNA Staffing Hours per Resident per Day
2.44307
Expected LPN Staffing Hours per Resident per Day
0.56330
Expected RN Staffing Hours per Resident per Day
0.82129
Expected Total Nurse Staffing Hours per Resident per Day
3.82766
Adjusted CNA Staffing Hours per Resident per Day
3.09125
Adjusted LPN Staffing Hours per Resident per Day
1.40598
Adjusted RN Staffing Hours per Resident per Day
0.45142
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76868
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
18
Number of Substantiated Complaints
5
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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