Faribault Care Center - Faribault Nursing Home

General Information

UPDATE
Federal Provider Number
245097
Provider Name
FARIBAULT CARE CENTER
Provider Address
1738 HULETT AVENUE NORTH
FARIBAULT, MN 55021
Provider Phone Number
5073343918
Provider SSA County
650
Provider County Name
Rice
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FARIBAULT CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-12
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.34651
Reported LPN Staffing Hours per Resident per Day
0.51047
Reported RN Staffing Hours per Resident per Day
0.36512
Reported Licensed Staffing Hours per Resident per Day
0.87558
Reported Total Nurse Staffing Hours per Resident per Day
3.22210
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10814
Expected CNA Staffing Hours per Resident per Day
2.30647
Expected LPN Staffing Hours per Resident per Day
0.62660
Expected RN Staffing Hours per Resident per Day
0.98850
Expected Total Nurse Staffing Hours per Resident per Day
3.92157
Adjusted CNA Staffing Hours per Resident per Day
2.49630
Adjusted LPN Staffing Hours per Resident per Day
0.67618
Adjusted RN Staffing Hours per Resident per Day
0.27599
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31193
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-02-01
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-10-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
103.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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

St Lucas Care Center

500 Southeast First Street | FARIBAULT MN 55021 | 2 miles away

Pleasant Manor Inc

27 Brand Avenue | FARIBAULT MN 55021 | 2.5 miles away

Three Links Care Center

815 Forest Avenue | NORTHFIELD MN 55057 | 11.6 miles away

Northfield Hospital Long Term Care Center

2000 North Avenue | NORTHFIELD MN 55057 | 12.3 miles away

Northfield Care Center Inc

900 Cannon Valley Drive | NORTHFIELD MN 55057 | 12.3 miles away

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