Qualicare Nursing Home - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235622
Provider Name
QUALICARE NURSING HOME
Provider Address
695 E GRAND BLVD
DETROIT, MI 48207
DETROIT, MI 48207
Provider Phone Number
(313) 925-6655
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARISTA MANAGEMENT, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-02-03
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.41867
Reported LPN Staffing Hours per Resident per Day
0.63193
Reported RN Staffing Hours per Resident per Day
0.61867
Reported Licensed Staffing Hours per Resident per Day
1.25060
Reported Total Nurse Staffing Hours per Resident per Day
3.66927
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13795
Expected CNA Staffing Hours per Resident per Day
2.37453
Expected LPN Staffing Hours per Resident per Day
0.63943
Expected RN Staffing Hours per Resident per Day
0.95823
Expected Total Nurse Staffing Hours per Resident per Day
3.97219
Adjusted CNA Staffing Hours per Resident per Day
2.49931
Adjusted LPN Staffing Hours per Resident per Day
0.82027
Adjusted RN Staffing Hours per Resident per Day
0.48242
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72350
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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