Tendercare Health & Rehab Center Of Holland - Holland Nursing Home
General Information
UPDATEFederal Provider Number
235638
Provider Name
TENDERCARE HEALTH & REHAB CENTER OF HOLLAND
Provider Address
1221 EAST 16TH
HOLLAND, MI 49423
HOLLAND, MI 49423
Provider Phone Number
(616) 396-7095
Provider SSA County
690
Provider County Name
Ottawa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
77
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TENDERCARE MICHIGAN INC
Date First Approved to Provide Medicare and Medicaid services
2008-03-07
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.50580
Reported LPN Staffing Hours per Resident per Day
0.65000
Reported RN Staffing Hours per Resident per Day
1.25362
Reported Licensed Staffing Hours per Resident per Day
1.90362
Reported Total Nurse Staffing Hours per Resident per Day
4.40942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08406
Expected CNA Staffing Hours per Resident per Day
2.41130
Expected LPN Staffing Hours per Resident per Day
0.63097
Expected RN Staffing Hours per Resident per Day
1.01026
Expected Total Nurse Staffing Hours per Resident per Day
4.05253
Adjusted CNA Staffing Hours per Resident per Day
2.54986
Adjusted LPN Staffing Hours per Resident per Day
0.85504
Adjusted RN Staffing Hours per Resident per Day
0.92719
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38588
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
168
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
168
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
19
Number of Fines
3
Total Amount of Fines in Dollars
35783
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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