Guardian Angels Care Center - Elk River Nursing Home

General Information

UPDATE
Federal Provider Number
245012
Provider Name
GUARDIAN ANGELS CARE CENTER
Provider Address
400 EVANS AVENUE
ELK RIVER, MN 55330
Provider Phone Number
7636355429
Provider SSA County
700
Provider County Name
Sherburne
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUARDIAN ANGELS HEALTH SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.58596
Reported LPN Staffing Hours per Resident per Day
0.76930
Reported RN Staffing Hours per Resident per Day
1.08114
Reported Licensed Staffing Hours per Resident per Day
1.85044
Reported Total Nurse Staffing Hours per Resident per Day
4.43640
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11096
Expected CNA Staffing Hours per Resident per Day
2.65228
Expected LPN Staffing Hours per Resident per Day
0.68454
Expected RN Staffing Hours per Resident per Day
1.12262
Expected Total Nurse Staffing Hours per Resident per Day
4.45944
Adjusted CNA Staffing Hours per Resident per Day
2.39234
Adjusted LPN Staffing Hours per Resident per Day
0.93277
Adjusted RN Staffing Hours per Resident per Day
0.71959
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01007
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-14
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
9.33300
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
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