Shelby Crossing Health Campus - Shelby Township Nursing Home
General Information
UPDATEFederal Provider Number
235662
Provider Name
SHELBY CROSSING HEALTH CAMPUS
Provider Address
13794 21 MILE ROAD
SHELBY TOWNSHIP, MI 48315
SHELBY TOWNSHIP, MI 48315
Provider Phone Number
(586) 532-2100
Provider SSA County
490
Provider County Name
Macomb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRILOGY HEALTHCARE OF MACOMB, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-05-06
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
4
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
2.22500
Reported LPN Staffing Hours per Resident per Day
1.52212
Reported RN Staffing Hours per Resident per Day
1.26923
Reported Licensed Staffing Hours per Resident per Day
2.79135
Reported Total Nurse Staffing Hours per Resident per Day
5.01635
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23846
Expected CNA Staffing Hours per Resident per Day
2.22688
Expected LPN Staffing Hours per Resident per Day
0.71912
Expected RN Staffing Hours per Resident per Day
1.56804
Expected Total Nurse Staffing Hours per Resident per Day
4.51403
Adjusted CNA Staffing Hours per Resident per Day
2.45163
Adjusted LPN Staffing Hours per Resident per Day
1.75682
Adjusted RN Staffing Hours per Resident per Day
0.60481
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47946
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
2014-05-09
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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