St Anns Home - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235643
Provider Name
ST ANNS HOME
Provider Address
2161 LEONARD NW
GRAND RAPIDS, MI 49504
GRAND RAPIDS, MI 49504
Provider Phone Number
(616) 453-7715
Provider SSA County
400
Provider County Name
Kent
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
55
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST ANNS HOME INC
Date First Approved to Provide Medicare and Medicaid services
2008-12-22
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
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
3.40273
Reported LPN Staffing Hours per Resident per Day
1.06364
Reported RN Staffing Hours per Resident per Day
1.04818
Reported Licensed Staffing Hours per Resident per Day
2.11182
Reported Total Nurse Staffing Hours per Resident per Day
5.51455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07182
Expected CNA Staffing Hours per Resident per Day
2.68570
Expected LPN Staffing Hours per Resident per Day
0.61731
Expected RN Staffing Hours per Resident per Day
0.84795
Expected Total Nurse Staffing Hours per Resident per Day
4.15096
Adjusted CNA Staffing Hours per Resident per Day
3.10879
Adjusted LPN Staffing Hours per Resident per Day
1.43011
Adjusted RN Staffing Hours per Resident per Day
0.92364
Adjusted Total Nurse Staffing Hours per Resident per Day
5.35505
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
10
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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