Wellspring Lutheran Nursing And Rehab Services - Monroe Nursing Home
General Information
UPDATEFederal Provider Number
235274
Provider Name
WELLSPRING LUTHERAN NURSING AND REHAB SERVICES
Provider Address
1236 S MONROE ST
MONROE, MI 48161
MONROE, MI 48161
Provider Phone Number
(734) 241-9533
Provider SSA County
570
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOMES OF MICHIGAN, INC
Date First Approved to Provide Medicare and Medicaid services
1976-04-01
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.35676
Reported LPN Staffing Hours per Resident per Day
0.72072
Reported RN Staffing Hours per Resident per Day
0.59685
Reported Licensed Staffing Hours per Resident per Day
1.31757
Reported Total Nurse Staffing Hours per Resident per Day
4.67433
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10315
Expected CNA Staffing Hours per Resident per Day
2.42299
Expected LPN Staffing Hours per Resident per Day
0.63927
Expected RN Staffing Hours per Resident per Day
1.01333
Expected Total Nurse Staffing Hours per Resident per Day
4.07559
Adjusted CNA Staffing Hours per Resident per Day
3.39930
Adjusted LPN Staffing Hours per Resident per Day
0.93575
Adjusted RN Staffing Hours per Resident per Day
0.44010
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62307
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
21591
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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