Tendercare Traverse City - Traverse City Nursing Home

General Information

UPDATE
Federal Provider Number
235336
Provider Name
TENDERCARE TRAVERSE CITY
Provider Address
2585 S LAFRANIER RD
TRAVERSE CITY, MI 49684
Provider Phone Number
(231) 947-9511
Provider SSA County
270
Provider County Name
Grand Traverse
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TENDERCARE TRAVERSE CITY INC.
Date First Approved to Provide Medicare and Medicaid services
1977-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.54412
Reported LPN Staffing Hours per Resident per Day
0.40515
Reported RN Staffing Hours per Resident per Day
1.23897
Reported Licensed Staffing Hours per Resident per Day
1.64412
Reported Total Nurse Staffing Hours per Resident per Day
4.18824
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.48194
Expected LPN Staffing Hours per Resident per Day
0.62872
Expected RN Staffing Hours per Resident per Day
1.02818
Expected Total Nurse Staffing Hours per Resident per Day
4.13883
Adjusted CNA Staffing Hours per Resident per Day
2.51517
Adjusted LPN Staffing Hours per Resident per Day
0.53486
Adjusted RN Staffing Hours per Resident per Day
0.90039
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07902
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
23
Number of Substantiated Complaints
3
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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