Dunseith Com Nursing Home - Dunseith Nursing Home
General Information
UPDATEFederal Provider Number
355080
Provider Name
DUNSEITH COM NURSING HOME
Provider Address
15 1ST ST NE
DUNSEITH, ND 58329
DUNSEITH, ND 58329
Provider Phone Number
7012445495
Provider SSA County
390
Provider County Name
Rolette
Ownership Type
Government - City
Number of Certified Beds
30
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DUNSEITH COMMUNITY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1978-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.01250
Reported LPN Staffing Hours per Resident per Day
1.16042
Reported RN Staffing Hours per Resident per Day
0.85625
Reported Licensed Staffing Hours per Resident per Day
2.01667
Reported Total Nurse Staffing Hours per Resident per Day
5.02917
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.18300
Expected LPN Staffing Hours per Resident per Day
0.63041
Expected RN Staffing Hours per Resident per Day
0.93117
Expected Total Nurse Staffing Hours per Resident per Day
3.74458
Adjusted CNA Staffing Hours per Resident per Day
3.38606
Adjusted LPN Staffing Hours per Resident per Day
1.52782
Adjusted RN Staffing Hours per Resident per Day
0.68708
Adjusted Total Nurse Staffing Hours per Resident per Day
5.41371
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-19
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Rolette Community Care Center
804 State Street |
ROLETTE ND 58366 | 14.2 miles away
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