White Pine Rehabilitation & Healthcare Of Farmingt - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
235293
Provider Name
WHITE PINE REHABILITATION & HEALTHCARE OF FARMINGT
Provider Address
34225 GRAND RIVER AVE
FARMINGTON, MI 48335
FARMINGTON, MI 48335
Provider Phone Number
(248) 477-7373
Provider SSA County
620
Provider County Name
Oakland
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
124
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FARMINGTON NURSING LLC
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
Both
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
1
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
2.99066
Reported LPN Staffing Hours per Resident per Day
2.37857
Reported RN Staffing Hours per Resident per Day
0.74286
Reported Licensed Staffing Hours per Resident per Day
3.12143
Reported Total Nurse Staffing Hours per Resident per Day
6.11209
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04341
Expected CNA Staffing Hours per Resident per Day
2.69345
Expected LPN Staffing Hours per Resident per Day
0.98365
Expected RN Staffing Hours per Resident per Day
1.45118
Expected Total Nurse Staffing Hours per Resident per Day
5.12829
Adjusted CNA Staffing Hours per Resident per Day
2.72445
Adjusted LPN Staffing Hours per Resident per Day
2.00703
Adjusted RN Staffing Hours per Resident per Day
0.38249
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80418
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
23
Cycle 2 Health Deficiency Score
204
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
204
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
136.00000
Number of Facility Reported Incidents
23
Number of Substantiated Complaints
53
Number of Fines
5
Total Amount of Fines in Dollars
62141
Number of Payment Denials
0
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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