Woodhaven Retirement Community - Livonia Nursing Home
General Information
UPDATEFederal Provider Number
235604
Provider Name
WOODHAVEN RETIREMENT COMMUNITY
Provider Address
29667 WENTWORTH AVENUE
LIVONIA, MI 48154
LIVONIA, MI 48154
Provider Phone Number
(734) 261-9000
Provider SSA County
810
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
27
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODHAVEN OF LIVONIA
Date First Approved to Provide Medicare and Medicaid services
2002-10-01
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59259
Reported LPN Staffing Hours per Resident per Day
0.47963
Reported RN Staffing Hours per Resident per Day
1.77407
Reported Licensed Staffing Hours per Resident per Day
2.25370
Reported Total Nurse Staffing Hours per Resident per Day
4.84629
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28889
Expected CNA Staffing Hours per Resident per Day
2.31200
Expected LPN Staffing Hours per Resident per Day
0.63621
Expected RN Staffing Hours per Resident per Day
1.19808
Expected Total Nurse Staffing Hours per Resident per Day
4.14630
Adjusted CNA Staffing Hours per Resident per Day
2.75149
Adjusted LPN Staffing Hours per Resident per Day
0.62572
Adjusted RN Staffing Hours per Resident per Day
1.10642
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71141
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
2013-10-24
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
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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