Holland Home – Raybrook Manor
Holland Home – Raybrook Manor Information
| Facility Name | Holland Home - Raybrook Manor |
| Location | 2121 Raybrook Se, Grand Rapids, MI 49546 |
| County (SSA Code) | Kent (400) |
| Phone Number | 616-235-5702 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 101 |
| Average Number of Residents | 82.7 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HOLLAND HOME |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1985-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.39617 |
| Reported LPN Staffing Hours per Resident per Day | 0.96081 |
| Reported RN Staffing - Hours per Resident per Day | 0.98209 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.9429 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.33907 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02441 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.27652 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65739 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28512 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21903 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.28791 |
| Total Weighted Health Survey Score for three cycles | 88.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-06 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 60 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-23 |
| Rating cycle 2 - Health Deficiency Score | 60 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-09-14 |
| Rating cycle 3 - Health Deficiency Score | 100 |
| Rating cycle 3 - Total Health Inspection Score | 100 |
| Number of Facility-Reported Incidents | 5 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 23330 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |