Tendercare Kalamazoo - Kalamazoo Nursing Home
General Information
UPDATEFederal Provider Number
235282
Provider Name
TENDERCARE KALAMAZOO
Provider Address
1701 S 11TH ST
KALAMAZOO, MI 49009
KALAMAZOO, MI 49009
Provider Phone Number
(269) 375-2020
Provider SSA County
380
Provider County Name
Kalamazoo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TENDERCARE KALAMAZOO INC.
Date First Approved to Provide Medicare and Medicaid services
1976-04-05
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.36742
Reported LPN Staffing Hours per Resident per Day
0.69663
Reported RN Staffing Hours per Resident per Day
0.61742
Reported Licensed Staffing Hours per Resident per Day
1.31404
Reported Total Nurse Staffing Hours per Resident per Day
3.68147
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03202
Expected CNA Staffing Hours per Resident per Day
2.45949
Expected LPN Staffing Hours per Resident per Day
0.62596
Expected RN Staffing Hours per Resident per Day
0.90562
Expected Total Nurse Staffing Hours per Resident per Day
3.99107
Adjusted CNA Staffing Hours per Resident per Day
2.36184
Adjusted LPN Staffing Hours per Resident per Day
0.92371
Adjusted RN Staffing Hours per Resident per Day
0.50942
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71821
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-02-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
34
Number of Substantiated Complaints
24
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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