North Dakota Nursing Homes >> Beulah Nursing Homes >> Knife River Care Center

Knife River Care Center - Beulah Nursing Home

General Information

UPDATE
Federal Provider Number
355053
Provider Name
KNIFE RIVER CARE CENTER
Provider Address
118 22ND ST NE
BEULAH, ND 58523
Provider Phone Number
7018734322
Provider SSA County
280
Provider County Name
Mercer
Ownership Type
Non profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEULAH COMMUNITY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
3.55864
Reported LPN Staffing Hours per Resident per Day
0.45741
Reported RN Staffing Hours per Resident per Day
1.06420
Reported Licensed Staffing Hours per Resident per Day
1.52160
Reported Total Nurse Staffing Hours per Resident per Day
5.08025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03519
Expected CNA Staffing Hours per Resident per Day
2.25977
Expected LPN Staffing Hours per Resident per Day
0.56262
Expected RN Staffing Hours per Resident per Day
0.82536
Expected Total Nurse Staffing Hours per Resident per Day
3.64775
Adjusted CNA Staffing Hours per Resident per Day
3.86404
Adjusted LPN Staffing Hours per Resident per Day
0.67479
Adjusted RN Staffing Hours per Resident per Day
0.96342
Adjusted Total Nurse Staffing Hours per Resident per Day
5.61386
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
76
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
76
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-05-09
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
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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