West Hickory Haven - Milford Nursing Home
General Information
UPDATEFederal Provider Number
235262
Provider Name
WEST HICKORY HAVEN
Provider Address
3310 W COMMERCE RD
MILFORD, MI 48380
MILFORD, MI 48380
Provider Phone Number
2486851400
Provider SSA County
620
Provider County Name
Oakland
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARDAN, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92475
Reported LPN Staffing Hours per Resident per Day
0.54851
Reported RN Staffing Hours per Resident per Day
0.72970
Reported Licensed Staffing Hours per Resident per Day
1.27822
Reported Total Nurse Staffing Hours per Resident per Day
4.20296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05644
Expected CNA Staffing Hours per Resident per Day
2.33079
Expected LPN Staffing Hours per Resident per Day
0.54483
Expected RN Staffing Hours per Resident per Day
0.79469
Expected Total Nurse Staffing Hours per Resident per Day
3.67032
Adjusted CNA Staffing Hours per Resident per Day
3.07898
Adjusted LPN Staffing Hours per Resident per Day
0.83560
Adjusted RN Staffing Hours per Resident per Day
0.68609
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61587
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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