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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 Beds101
Average Number of Residents82.7
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameHOLLAND HOME
Ownership TypeNon profit - Corporation
Date First Approved1985-09-01

Reported Nurse Aide Staffing Hours per Resident per Day3.39617
Reported LPN Staffing Hours per Resident per Day0.96081
Reported RN Staffing - Hours per Resident per Day0.98209
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 Day0.02441
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.27652
Case-Mix LPN Staffing - Hours per Resident per Day0.65739
Case-Mix RN Staffing - Hours per Resident per Day0.28512
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 cycles88.167
Rating cycle 1 Standard Survey Health Date2019-11-06
Rating cycle 1 - Health Deficiency Score5
Rating cycle 1 - Total Health Inspection Score60
Date of Rating cycle 2 Standard Health Survey Date2018-08-23
Rating cycle 2 - Health Deficiency Score60
Date of Rating cycle 3 Standard Health Survey Date2017-09-14
Rating cycle 3 - Health Deficiency Score100
Rating cycle 3 - Total Health Inspection Score100

Number of Facility-Reported Incidents5
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Number of Fines2
Total Amount of Fines (in Dollars)23330
Number of Payment Denials1
Total Number of Penalties3

Data Filing Date2020-10-01
Page Last Updated2020-11-28