Medilodge of Richmond
34901 Division Rd, Richmond, MI 48062


Medilodge of Richmond is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 235486. The address is 34901 Division Rd, Richmond, MI 48062. The zip code is 48062. The phone number is 5867277562.


Medilodge of Richmond · 34901 Division Rd, Richmond, MI 48062

Federal Provider Number 235486
Provider Name MEDILODGE OF RICHMOND
Address 34901 DIVISION RD
RICHMOND, MI 48062
Phone Number 5867277562
SSA County Code 490
County Name Macomb
Ownership Type For profit - Corporation
Certified Beds 126
Certified Beds Residents 105
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name RICHMOND OPCO LLC
Date First Approved to Provide Medicare Medicaid Services 03/06/1989
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.11905
Reported LPN Staffing Hours per Resident per Day 0.61857
Reported RN Staffing Hours per Resident per Day 0.6581
Reported Licensed Staffing Hours per Resident per Day 1.27667
Reported Total Nurse Staffing Hours per Resident per Day 3.39572
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01286
Expected CNA Staffing Hours per Resident per Day 2.47094
Expected LPN Staffing Hours per Resident per Day 0.65479
Expected RN Staffing Hours per Resident per Day 0.99991
Expected Total Nurse Staffing Hours per Resident per Day 4.12564
Adjusted CNA Staffing Hours per Resident per Day 2.10426
Adjusted LPN Staffing Hours per Resident per Day 0.78408
Adjusted RN Staffing Hours per Resident per Day 0.49178
Adjusted Total Nurse Staffing Hours per Resident per Day 3.31774
Cycle 1 Total Number of Health Deficiencies 15
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 112
Cycle 1 Standard Survey Health Date 04/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 112
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 03/17/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 17
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 100
Cycle 3 Standard Health Survey Date 05/14/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 100
Total Weighted Health Survey Score 84.667
Number of Facility Reported Incidents 4
Number of Substantiated Complaints 16
Number of Fines 2
Total Amount of Fines in Dollars $14333.00
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Medilodge of Richmond

Owner Name Role Association Date
B&Y HEALTHCARE S CORP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/24/2013
B&Y TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/24/2013
BROOKS, CARLA (Individual) MANAGING EMPLOYEE since 06/24/2013
CODY HEALTHCARE S CORP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/24/2013
CRAIG FLASHNER 2007 TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/24/2013
FIFTEENINONE OPCO GROUP LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/24/2013
FLASHNER, CRAIG (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/24/2013
GENERATIONS HEALTHCARE MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/24/2013
HAZEL, SUE (Individual) MANAGING EMPLOYEE since 11/01/2013
NORCROSS, ROBERT (Individual) MANAGING EMPLOYEE since 06/24/2013
PERLSTEIN, YITZCHOK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/24/2013

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