Ridgecrest Health Campus - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
235538
Provider Name
RIDGECREST HEALTH CAMPUS
Provider Address
703 ROBINSON RD
JACKSON, MI 49203
JACKSON, MI 49203
Provider Phone Number
(517) 787-5140
Provider SSA County
370
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF JACKSON, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.63375
Reported LPN Staffing Hours per Resident per Day
1.16375
Reported RN Staffing Hours per Resident per Day
1.15500
Reported Licensed Staffing Hours per Resident per Day
2.31875
Reported Total Nurse Staffing Hours per Resident per Day
4.95250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12375
Expected CNA Staffing Hours per Resident per Day
2.42903
Expected LPN Staffing Hours per Resident per Day
0.63093
Expected RN Staffing Hours per Resident per Day
1.20579
Expected Total Nurse Staffing Hours per Resident per Day
4.26576
Adjusted CNA Staffing Hours per Resident per Day
2.66050
Adjusted LPN Staffing Hours per Resident per Day
1.53092
Adjusted RN Staffing Hours per Resident per Day
0.71572
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67983
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
60
Cycle 2 Total Health Score
180
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
108.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
4063
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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