Roosevelt Park Nursing And Rehabilitation Communit - Muskegon Nursing Home
General Information
UPDATEFederal Provider Number
235549
Provider Name
ROOSEVELT PARK NURSING AND REHABILITATION COMMUNIT
Provider Address
1300 W BROADWAY AVE
MUSKEGON, MI 49441
MUSKEGON, MI 49441
Provider Phone Number
(231) 755-2221
Provider SSA County
600
Provider County Name
Muskegon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROOSEVELT PARK NURSING CENTRE, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-06-09
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.33108
Reported LPN Staffing Hours per Resident per Day
0.66486
Reported RN Staffing Hours per Resident per Day
0.81351
Reported Licensed Staffing Hours per Resident per Day
1.47838
Reported Total Nurse Staffing Hours per Resident per Day
3.80945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01486
Expected CNA Staffing Hours per Resident per Day
2.36016
Expected LPN Staffing Hours per Resident per Day
0.54072
Expected RN Staffing Hours per Resident per Day
0.77450
Expected Total Nurse Staffing Hours per Resident per Day
3.67538
Adjusted CNA Staffing Hours per Resident per Day
2.42347
Adjusted LPN Staffing Hours per Resident per Day
1.02055
Adjusted RN Staffing Hours per Resident per Day
0.78483
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17794
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
52
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
260
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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