Riverside Nursing Centre - Grand Haven Nursing Home
General Information
UPDATEFederal Provider Number
235535
Provider Name
RIVERSIDE NURSING CENTRE
Provider Address
415 FRIANT STREET
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
Provider Phone Number
(616) 842-4120
Provider SSA County
690
Provider County Name
Ottawa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CCG - LAKESHORE, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.45333
Reported LPN Staffing Hours per Resident per Day
0.11833
Reported RN Staffing Hours per Resident per Day
1.32500
Reported Licensed Staffing Hours per Resident per Day
1.44333
Reported Total Nurse Staffing Hours per Resident per Day
3.89666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01667
Expected CNA Staffing Hours per Resident per Day
2.16227
Expected LPN Staffing Hours per Resident per Day
0.52506
Expected RN Staffing Hours per Resident per Day
0.77909
Expected Total Nurse Staffing Hours per Resident per Day
3.46641
Adjusted CNA Staffing Hours per Resident per Day
2.78399
Adjusted LPN Staffing Hours per Resident per Day
0.18705
Adjusted RN Staffing Hours per Resident per Day
1.27076
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53121
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
20
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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