The Lodge At Maplecreek - Grand Rapids Nursing Home
General Information
UPDATEFederal Provider Number
235458
Provider Name
THE LODGE AT MAPLECREEK
Provider Address
1950 32ND ST S E
GRAND RAPIDS, MI 49508
GRAND RAPIDS, MI 49508
Provider Phone Number
6164525900
Provider SSA County
400
Provider County Name
Kent
Ownership Type
Non profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN SOCIAL SERVICES OF MICHIGAN
Date First Approved to Provide Medicare and Medicaid services
1987-01-01
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40894
Reported LPN Staffing Hours per Resident per Day
0.74553
Reported RN Staffing Hours per Resident per Day
0.39919
Reported Licensed Staffing Hours per Resident per Day
1.14472
Reported Total Nurse Staffing Hours per Resident per Day
3.55366
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04634
Expected CNA Staffing Hours per Resident per Day
2.27438
Expected LPN Staffing Hours per Resident per Day
0.56643
Expected RN Staffing Hours per Resident per Day
0.91939
Expected Total Nurse Staffing Hours per Resident per Day
3.76020
Adjusted CNA Staffing Hours per Resident per Day
2.59887
Adjusted LPN Staffing Hours per Resident per Day
1.09243
Adjusted RN Staffing Hours per Resident per Day
0.32443
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80949
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
124
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
17
Number of Fines
1
Total Amount of Fines in Dollars
8400
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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