Willowbrook Manor - Flint Nursing Home
General Information
UPDATEFederal Provider Number
235550
Provider Name
WILLOWBROOK MANOR
Provider Address
4436 BEECHER RD
FLINT, MI 48532
FLINT, MI 48532
Provider Phone Number
(810) 733-0290
Provider SSA County
240
Provider County Name
Genesee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWBROOK ACQUISITION COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-14
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
3
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
2.09032
Reported LPN Staffing Hours per Resident per Day
0.76183
Reported RN Staffing Hours per Resident per Day
0.79086
Reported Licensed Staffing Hours per Resident per Day
1.55269
Reported Total Nurse Staffing Hours per Resident per Day
3.64301
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14570
Expected CNA Staffing Hours per Resident per Day
2.41856
Expected LPN Staffing Hours per Resident per Day
0.67169
Expected RN Staffing Hours per Resident per Day
1.19024
Expected Total Nurse Staffing Hours per Resident per Day
4.28048
Adjusted CNA Staffing Hours per Resident per Day
2.12069
Adjusted LPN Staffing Hours per Resident per Day
0.94139
Adjusted RN Staffing Hours per Resident per Day
0.49648
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43060
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-25
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
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
44
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
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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