Sanctuary At White Lake
10770 Elizabeth Lake Road, White Lake, MI 48386


Sanctuary At White Lake is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 235430. The address is 10770 Elizabeth Lake Road, White Lake, MI 48386. The zip code is 48386. The phone number is 2486184100.


Sanctuary At White Lake · 10770 Elizabeth Lake Road, White Lake, MI 48386

Federal Provider Number 235430
Provider Name SANCTUARY AT WHITE LAKE
Address 10770 ELIZABETH LAKE ROAD
WHITE LAKE, MI 48386
Phone Number 2486184100
SSA County Code 620
County Name Oakland
Ownership Type Non profit - Corporation
Certified Beds 92
Certified Beds Residents 56
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name TRINITY CONTINUING CARE SERVICES
Date First Approved to Provide Medicare Medicaid Services 03/17/1983
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 3.94018
Reported LPN Staffing Hours per Resident per Day 1.67054
Reported RN Staffing Hours per Resident per Day 0.89018
Reported Licensed Staffing Hours per Resident per Day 2.56071
Reported Total Nurse Staffing Hours per Resident per Day 6.5009
Reported Physical Therapist Staffing Hours per Resident Per Day 0.22589
Expected CNA Staffing Hours per Resident per Day 2.47593
Expected LPN Staffing Hours per Resident per Day 0.73323
Expected RN Staffing Hours per Resident per Day 1.3834
Expected Total Nurse Staffing Hours per Resident per Day 4.59257
Adjusted CNA Staffing Hours per Resident per Day 3.9048
Adjusted LPN Staffing Hours per Resident per Day 1.89101
Adjusted RN Staffing Hours per Resident per Day 0.4808
Adjusted Total Nurse Staffing Hours per Resident per Day 5.70585
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 07/27/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 119
Cycle 2 Standard Health Survey Date 08/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 119
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 07/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 50.333
Number of Facility Reported Incidents 7
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $9563.00
Number of Payment Denials 1
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Sanctuary At White Lake

Owner Name Role Association Date
ACKERLY, DANA (Individual) OFFICER since 01/01/2015
BENJAMIN, JERALD (Individual) MANAGING EMPLOYEE since 08/01/2016
CAPASSO, JOHN (Individual) OFFICER since 01/01/2015
EMERSON, JAMES (Individual) OFFICER since 01/01/2015
FALISKIE, MARY KATHLEEN (Individual) OFFICER since 01/01/2015
HAGERTY, AGNES (Individual) OFFICER since 01/01/2013
HANDY, JOANNE (Individual) OFFICER since 01/01/2015
HENKEL, ARTHUR (Individual) OFFICER since 01/01/2015
HEWITT, JOSEPHINE (Individual) MANAGING EMPLOYEE since 08/01/2016
JONES, BEVERLY (Individual) OFFICER since 01/01/2016
LATOVICK, PAMELA (Individual) MANAGING EMPLOYEE since 08/01/2016
LUNSMANN, KATHLEEN (Individual) OFFICER since 01/01/2015
POOLE, LEJON (Individual) OFFICER since 01/01/2016
ROBBINS, KENNETH (Individual) MANAGING EMPLOYEE since 07/19/2011
SZYMANSKI, MARIA (Individual) OFFICER since 04/22/2008
TRINITY CONTINUING CARE SERVICES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/22/2008
VILLARRUEL, ANTONIA (Individual) OFFICER since 01/01/2016
WELLS, WAYBON DEWAYNE (Individual) OFFICER since 01/01/2015

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