Riveridge Manor - Niles Nursing Home
General Information
UPDATEFederal Provider Number
235598
Provider Name
RIVERIDGE MANOR
Provider Address
1333 WELLS ST
NILES, MI 49120
NILES, MI 49120
Provider Phone Number
(269) 684-1111
Provider SSA County
100
Provider County Name
Berrien
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVERIDGE INVESTMENTS & ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid services
2001-02-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06351
Reported LPN Staffing Hours per Resident per Day
0.54527
Reported RN Staffing Hours per Resident per Day
0.77973
Reported Licensed Staffing Hours per Resident per Day
1.32500
Reported Total Nurse Staffing Hours per Resident per Day
3.38851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08041
Expected CNA Staffing Hours per Resident per Day
2.43556
Expected LPN Staffing Hours per Resident per Day
0.55720
Expected RN Staffing Hours per Resident per Day
0.82689
Expected Total Nurse Staffing Hours per Resident per Day
3.81965
Adjusted CNA Staffing Hours per Resident per Day
2.07888
Adjusted LPN Staffing Hours per Resident per Day
0.81223
Adjusted RN Staffing Hours per Resident per Day
0.70459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57592
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
36
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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