Minnesota Nursing Homes >> Chatfield Nursing Homes >> Chosen Valley Care Center

Chosen Valley Care Center - Chatfield Nursing Home

General Information

UPDATE
Federal Provider Number
245423
Provider Name
CHOSEN VALLEY CARE CENTER
Provider Address
1102 LIBERTY STREET SOUTHEAST
CHATFIELD, MN 55923
Provider Phone Number
5078674220
Provider SSA County
220
Provider County Name
Fillmore
Ownership Type
Non profit - Other
Number of Certified Beds
78
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHOSEN VALLEY CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77961
Reported LPN Staffing Hours per Resident per Day
0.53618
Reported RN Staffing Hours per Resident per Day
0.62303
Reported Licensed Staffing Hours per Resident per Day
1.15921
Reported Total Nurse Staffing Hours per Resident per Day
3.93882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03750
Expected CNA Staffing Hours per Resident per Day
2.45319
Expected LPN Staffing Hours per Resident per Day
0.58399
Expected RN Staffing Hours per Resident per Day
0.83856
Expected Total Nurse Staffing Hours per Resident per Day
3.87573
Adjusted CNA Staffing Hours per Resident per Day
2.78019
Adjusted LPN Staffing Hours per Resident per Day
0.76205
Adjusted RN Staffing Hours per Resident per Day
0.55515
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09651
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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