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Detailed information-LAKESIDE MANOR NURSING AND REHABILITATION CENTER

This is the detailed information about LAKESIDE MANOR NURSING AND REHABILITATION CENTER, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 235719
Provider Name: LAKESIDE MANOR NURSING AND REHABILITATION CENTER
Provider State: MI
Provider Zip Code: 48313
Overall Rating: 1
Ownership Type: Government - County
Number of Substantiated Complaints: 0
Provider Phone Number: 5864881400
Provider City: STERLING HEIGHTS
Provider SSA County Code: 490
Provider County Name: Macomb
Provider Address: 13990 LAKESIDE CIRCLE
Number of Certified Beds: 66
Number of Residents in Certified Beds: 32.3
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Legal Business Name: LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services: 2017-01-13
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 2
Health Inspection Rating Footnote:
QM Rating: 1
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: 2.22224
Reported LPN Staffing Hours per Resident per Day: 1.28412
Reported RN Staffing Hours per Resident per Day: 0.72214
Reported Licensed Staffing Hours per Resident per Day: 2.00626
Reported Total Nurse Staffing Hours per Resident per Day: 4.22850
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.21692
Expected CNA Staffing Hours per Resident per Day: 2.17331
Expected LPN Staffing Hours per Resident per Day: 0.97017
Expected RN Staffing Hours per Resident per Day: 0.51276
Expected Total Nurse Staffing Hours per Resident per Day: 3.65624

Adjusted CNA Staffing Hours per Resident per Day: 2.13628
Adjusted LPN Staffing Hours per Resident per Day: 1.00442
Adjusted RN Staffing Hours per Resident per Day: 0.53576
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.73382
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 10/11/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 8
Rating Cycle 1 Standard Survey Health Date: 2017-10-11
Rating Cycle 1 Total Number of Health Deficiencies: 13
Rating Cycle 1 Number of Standard Health Deficiencies: 8
Rating Cycle 1 Number of Complaint Health Deficiencies: 5
Rating Cycle 1 Health Deficiency Score: 207
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 207

Rating Cycle 2 Standard Health Survey Date: 2017-01-04
Rating Cycle 2 Total Number of Health Deficiencies: 3
Rating Cycle 2 Number of Standard Health Deficiencies: 3
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 24
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 24
Total Weighted Health Survey Score: 133.800
Number of Facility Reported Incidents: 0
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 1
Total Number of Penalties: 1
Processing Date: 2018-04-01