Samaritan Manor - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235632
Provider Name
SAMARITAN MANOR
Provider Address
5555 CONNER AVENUE, SUITE 4000
DETROIT, MI 48213
DETROIT, MI 48213
Provider Phone Number
(313) 344-4100
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADVANTAGE MANAGEMENT GROUP INC
Date First Approved to Provide Medicare and Medicaid services
2007-08-28
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
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
2.39266
Reported LPN Staffing Hours per Resident per Day
0.74174
Reported RN Staffing Hours per Resident per Day
0.68165
Reported Licensed Staffing Hours per Resident per Day
1.42339
Reported Total Nurse Staffing Hours per Resident per Day
3.81605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06697
Expected CNA Staffing Hours per Resident per Day
2.31614
Expected LPN Staffing Hours per Resident per Day
0.62200
Expected RN Staffing Hours per Resident per Day
1.08278
Expected Total Nurse Staffing Hours per Resident per Day
4.02092
Adjusted CNA Staffing Hours per Resident per Day
2.53477
Adjusted LPN Staffing Hours per Resident per Day
0.98979
Adjusted RN Staffing Hours per Resident per Day
0.47039
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82552
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
180
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
180
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
136.66700
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
25
Number of Fines
1
Total Amount of Fines in Dollars
3510
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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