Providence Christian Healthcare & Rehab Ctr - Zeeland Nursing Home
General Information
UPDATEFederal Provider Number
235347
Provider Name
PROVIDENCE CHRISTIAN HEALTHCARE & REHAB CTR
Provider Address
285 N STATE ST
ZEELAND, MI 49464
ZEELAND, MI 49464
Provider Phone Number
(616) 772-4641
Provider SSA County
690
Provider County Name
Ottawa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
153
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAVEN PARK CHRISTIAN HOUSING AND NURSING ASSOCIATION OF ZEELAND
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
2.56091
Reported LPN Staffing Hours per Resident per Day
0.82773
Reported RN Staffing Hours per Resident per Day
0.50500
Reported Licensed Staffing Hours per Resident per Day
1.33273
Reported Total Nurse Staffing Hours per Resident per Day
3.89364
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03455
Expected CNA Staffing Hours per Resident per Day
2.65993
Expected LPN Staffing Hours per Resident per Day
0.58507
Expected RN Staffing Hours per Resident per Day
0.80149
Expected Total Nurse Staffing Hours per Resident per Day
4.04648
Adjusted CNA Staffing Hours per Resident per Day
2.36236
Adjusted LPN Staffing Hours per Resident per Day
1.17424
Adjusted RN Staffing Hours per Resident per Day
0.47080
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87865
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
657
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
657
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
287.00000
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
56063
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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