Sanctuary At White Lake - White Lake Nursing Home
General Information
UPDATEFederal Provider Number
235430
Provider Name
SANCTUARY AT WHITE LAKE
Provider Address
10770 ELIZABETH LAKE ROAD
WHITE LAKE, MI 48386
WHITE LAKE, MI 48386
Provider Phone Number
(248) 618-4100
Provider SSA County
620
Provider County Name
Oakland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1983-03-17
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.72500
Reported LPN Staffing Hours per Resident per Day
1.30875
Reported RN Staffing Hours per Resident per Day
0.78250
Reported Licensed Staffing Hours per Resident per Day
2.09125
Reported Total Nurse Staffing Hours per Resident per Day
5.81625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27875
Expected CNA Staffing Hours per Resident per Day
2.51531
Expected LPN Staffing Hours per Resident per Day
0.68119
Expected RN Staffing Hours per Resident per Day
1.22508
Expected Total Nurse Staffing Hours per Resident per Day
4.42158
Adjusted CNA Staffing Hours per Resident per Day
3.63376
Adjusted LPN Staffing Hours per Resident per Day
1.59466
Adjusted RN Staffing Hours per Resident per Day
0.47726
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30234
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
20
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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