Sisters, Servants Of The Immaculate Heart Of Mary - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
235648
Provider Name
SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY
Provider Address
610 WEST ELM AVENUE
MONROE, MI 48162
MONROE, MI 48162
Provider Phone Number
(734) 241-3660
Provider SSA County
570
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SISTERS, SERVANTS OF THE IMMACULATE HEART OF MARY, MONROE, MICHIGAN, I
Date First Approved to Provide Medicare and Medicaid services
2009-10-15
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
3
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
3.34906
Reported LPN Staffing Hours per Resident per Day
1.09434
Reported RN Staffing Hours per Resident per Day
1.27170
Reported Licensed Staffing Hours per Resident per Day
2.36604
Reported Total Nurse Staffing Hours per Resident per Day
5.71510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04151
Expected CNA Staffing Hours per Resident per Day
2.36323
Expected LPN Staffing Hours per Resident per Day
0.65933
Expected RN Staffing Hours per Resident per Day
1.02226
Expected Total Nurse Staffing Hours per Resident per Day
4.04482
Adjusted CNA Staffing Hours per Resident per Day
3.47727
Adjusted LPN Staffing Hours per Resident per Day
1.37761
Adjusted RN Staffing Hours per Resident per Day
0.92952
Adjusted Total Nurse Staffing Hours per Resident per Day
5.69543
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-12-06
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
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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