Star Manor Of Northville - Northville Nursing Home
General Information
UPDATEFederal Provider Number
230000000000000000000000000000
Provider Name
STAR MANOR OF NORTHVILLE
Provider Address
520 W MAIN ST C/O BOX 206
NORTHVILLE, MI 48167
NORTHVILLE, MI 48167
Provider Phone Number
2483494290
Provider SSA County
810
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
34
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1982-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.67353
Reported LPN Staffing Hours per Resident per Day
0.14706
Reported RN Staffing Hours per Resident per Day
1.00147
Reported Licensed Staffing Hours per Resident per Day
1.14853
Reported Total Nurse Staffing Hours per Resident per Day
3.82206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.45887
Expected LPN Staffing Hours per Resident per Day
0.53215
Expected RN Staffing Hours per Resident per Day
0.70715
Expected Total Nurse Staffing Hours per Resident per Day
3.69817
Adjusted CNA Staffing Hours per Resident per Day
2.66791
Adjusted LPN Staffing Hours per Resident per Day
0.22937
Adjusted RN Staffing Hours per Resident per Day
1.05819
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16593
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-12
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
4
Cycle 3 Standard Health Survey Date
2012-03-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.66700
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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