Gil- Mor Manor - Morgan Nursing Home
General Information
UPDATEFederal Provider Number
245594
Provider Name
GIL- MOR MANOR
Provider Address
96 THIRD STREET EAST
MORGAN, MN 56266
MORGAN, MN 56266
Provider Phone Number
(507) 249-3143
Provider SSA County
630
Provider County Name
Redwood
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
35
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORGAN MEMORIAL FOUNDATION INC
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.85588
Reported LPN Staffing Hours per Resident per Day
0.36176
Reported RN Staffing Hours per Resident per Day
0.95441
Reported Licensed Staffing Hours per Resident per Day
1.31618
Reported Total Nurse Staffing Hours per Resident per Day
4.17205
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03088
Expected CNA Staffing Hours per Resident per Day
2.21869
Expected LPN Staffing Hours per Resident per Day
0.59793
Expected RN Staffing Hours per Resident per Day
0.78467
Expected Total Nurse Staffing Hours per Resident per Day
3.60129
Adjusted CNA Staffing Hours per Resident per Day
3.15838
Adjusted LPN Staffing Hours per Resident per Day
0.50217
Adjusted RN Staffing Hours per Resident per Day
0.90883
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66975
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
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
12
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
1
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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