Vista Grande Villa - Jackson Nursing Home
General Information
UPDATEFederal Provider Number
235254
Provider Name
VISTA GRANDE VILLA
Provider Address
2251 SPRINGPORT RD
JACKSON, MI 49202
JACKSON, MI 49202
Provider Phone Number
(517) 787-0222
Provider SSA County
370
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
33
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
VISTA GRANDE VILLA
Date First Approved to Provide Medicare and Medicaid services
1976-01-15
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.58030
Reported LPN Staffing Hours per Resident per Day
1.10758
Reported RN Staffing Hours per Resident per Day
1.15152
Reported Licensed Staffing Hours per Resident per Day
2.25909
Reported Total Nurse Staffing Hours per Resident per Day
5.83940
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02121
Expected CNA Staffing Hours per Resident per Day
2.65353
Expected LPN Staffing Hours per Resident per Day
0.60016
Expected RN Staffing Hours per Resident per Day
0.99354
Expected Total Nurse Staffing Hours per Resident per Day
4.24724
Adjusted CNA Staffing Hours per Resident per Day
3.31068
Adjusted LPN Staffing Hours per Resident per Day
1.53174
Adjusted RN Staffing Hours per Resident per Day
0.86601
Adjusted Total Nurse Staffing Hours per Resident per Day
5.54196
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
36
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
90.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
15795
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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