South Haven Nursing And Rehabilitation Community - South Haven Nursing Home
General Information
UPDATEFederal Provider Number
235270
Provider Name
SOUTH HAVEN NURSING AND REHABILITATION COMMUNITY
Provider Address
850 PHILLIPS
SOUTH HAVEN, MI 49090
SOUTH HAVEN, MI 49090
Provider Phone Number
(269) 637-5147
Provider SSA County
790
Provider County Name
Van Buren
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATRIUM SOUTH HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.95074
Reported LPN Staffing Hours per Resident per Day
0.51544
Reported RN Staffing Hours per Resident per Day
0.60588
Reported Licensed Staffing Hours per Resident per Day
1.12132
Reported Total Nurse Staffing Hours per Resident per Day
3.07206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06618
Expected CNA Staffing Hours per Resident per Day
2.44142
Expected LPN Staffing Hours per Resident per Day
0.64401
Expected RN Staffing Hours per Resident per Day
1.01828
Expected Total Nurse Staffing Hours per Resident per Day
4.10371
Adjusted CNA Staffing Hours per Resident per Day
1.96055
Adjusted LPN Staffing Hours per Resident per Day
0.66430
Adjusted RN Staffing Hours per Resident per Day
0.44459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01755
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-13
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
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
167
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
167
Total Weighted Health Survey Score
93.83300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
14
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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