Eventide Jamestown - Jamestown Nursing Home

General Information

UPDATE
Federal Provider Number
355078
Provider Name
EVENTIDE JAMESTOWN
Provider Address
1300 2ND PL NE
JAMESTOWN, ND 58401
Provider Phone Number
7012525881
Provider SSA County
460
Provider County Name
Stutsman
Ownership Type
Non profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVENTIDE JAMESTOWN LLC
Date First Approved to Provide Medicare and Medicaid services
1978-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.24600
Reported LPN Staffing Hours per Resident per Day
0.60050
Reported RN Staffing Hours per Resident per Day
0.64850
Reported Licensed Staffing Hours per Resident per Day
1.24900
Reported Total Nurse Staffing Hours per Resident per Day
4.49500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05350
Expected CNA Staffing Hours per Resident per Day
2.40731
Expected LPN Staffing Hours per Resident per Day
0.62358
Expected RN Staffing Hours per Resident per Day
0.93205
Expected Total Nurse Staffing Hours per Resident per Day
3.96294
Adjusted CNA Staffing Hours per Resident per Day
3.30855
Adjusted LPN Staffing Hours per Resident per Day
0.79928
Adjusted RN Staffing Hours per Resident per Day
0.51989
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57208
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
148
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
148
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
152
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
137.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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

Ave Maria Village

501 19th St Ne | JAMESTOWN ND 58401 | 1.5 miles away

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