Boulder Park Terrace
Boulder Park Terrace Information
| Facility Name | Boulder Park Terrace |
| Location | 14676 W Upright, Charlevoix, MI 49720 |
| County (SSA Code) | Charlevoix (140) |
| Phone Number | 231-547-1005 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 70 |
| Average Number of Residents | 59.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | CHARLEVOIX NURSING HOME CORPORATION |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1992-08-14 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.49722 |
| Reported RN Staffing - Hours per Resident per Day | 1.35979 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35979 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.85701 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07519 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.91762 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62924 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29236 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.83922 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.33107 |
| Total Weighted Health Survey Score for three cycles | 52 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-04 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 112 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-30 |
| Rating cycle 2 - Health Deficiency Score | 112 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-19 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 4 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |