Tendercare Portage - Portage Nursing Home

General Information

UPDATE
Federal Provider Number
235399
Provider Name
TENDERCARE PORTAGE
Provider Address
7855 CURRIER DR
PORTAGE, MI 49002
Provider Phone Number
(269) 323-7748
Provider SSA County
380
Provider County Name
Kalamazoo
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
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
1979-03-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
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
2.51442
Reported LPN Staffing Hours per Resident per Day
0.35144
Reported RN Staffing Hours per Resident per Day
1.00096
Reported Licensed Staffing Hours per Resident per Day
1.35240
Reported Total Nurse Staffing Hours per Resident per Day
3.86682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04327
Expected CNA Staffing Hours per Resident per Day
2.51683
Expected LPN Staffing Hours per Resident per Day
0.60736
Expected RN Staffing Hours per Resident per Day
0.97394
Expected Total Nurse Staffing Hours per Resident per Day
4.09813
Adjusted CNA Staffing Hours per Resident per Day
2.45135
Adjusted LPN Staffing Hours per Resident per Day
0.48026
Adjusted RN Staffing Hours per Resident per Day
0.76793
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80338
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
25
Number of Substantiated Complaints
15
Number of Fines
1
Total Amount of Fines in Dollars
24083
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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