West Woods Of Niles - Niles Nursing Home
General Information
UPDATEFederal Provider Number
235594
Provider Name
WEST WOODS OF NILES
Provider Address
1211 STATE LINE RD
NILES, MI 49120
NILES, MI 49120
Provider Phone Number
(269) 684-2810
Provider SSA County
100
Provider County Name
Berrien
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARDAN ASSOCIATES, INC
Date First Approved to Provide Medicare and Medicaid services
2000-07-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.06121
Reported LPN Staffing Hours per Resident per Day
0.74019
Reported RN Staffing Hours per Resident per Day
0.36262
Reported Licensed Staffing Hours per Resident per Day
1.10280
Reported Total Nurse Staffing Hours per Resident per Day
4.16402
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08738
Expected CNA Staffing Hours per Resident per Day
2.38363
Expected LPN Staffing Hours per Resident per Day
0.59867
Expected RN Staffing Hours per Resident per Day
0.97218
Expected Total Nurse Staffing Hours per Resident per Day
3.95448
Adjusted CNA Staffing Hours per Resident per Day
3.15120
Adjusted LPN Staffing Hours per Resident per Day
1.02620
Adjusted RN Staffing Hours per Resident per Day
0.27870
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24449
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
4
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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