Elim Home - Princeton Nursing Home
General Information
UPDATEFederal Provider Number
245494
Provider Name
ELIM HOME
Provider Address
701 FIRST STREET
PRINCETON, MN 55371
PRINCETON, MN 55371
Provider Phone Number
7633891171
Provider SSA County
470
Provider County Name
Mille Lacs
Ownership Type
Non profit - Church related
Number of Certified Beds
106
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELIM HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3.26190
Reported LPN Staffing Hours per Resident per Day
0.40190
Reported RN Staffing Hours per Resident per Day
0.69667
Reported Licensed Staffing Hours per Resident per Day
1.09857
Reported Total Nurse Staffing Hours per Resident per Day
4.36047
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10905
Expected CNA Staffing Hours per Resident per Day
2.49372
Expected LPN Staffing Hours per Resident per Day
0.63866
Expected RN Staffing Hours per Resident per Day
0.96698
Expected Total Nurse Staffing Hours per Resident per Day
4.09936
Adjusted CNA Staffing Hours per Resident per Day
3.20955
Adjusted LPN Staffing Hours per Resident per Day
0.52231
Adjusted RN Staffing Hours per Resident per Day
0.53833
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28765
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-08-15
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
12
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
40.66700
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
Nursiong Homes Nearby
Elim Home - Milaca
730 Second Street Southeast, Po Box 157 |
MILACA MN 56353 | 13.1 miles away
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