Maryhill Manor - Enderlin Nursing Home

General Information

UPDATE
Federal Provider Number
355108
Provider Name
MARYHILL MANOR
Provider Address
110 HILLCREST DR
ENDERLIN, ND 58027
Provider Phone Number
7014373544
Provider SSA County
360
Provider County Name
Ransom
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Date First Approved to Provide Medicare and Medicaid services
1991-09-01
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.07500
Reported LPN Staffing Hours per Resident per Day
0.60625
Reported RN Staffing Hours per Resident per Day
0.45313
Reported Licensed Staffing Hours per Resident per Day
1.05938
Reported Total Nurse Staffing Hours per Resident per Day
4.13438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04583
Expected CNA Staffing Hours per Resident per Day
2.20468
Expected LPN Staffing Hours per Resident per Day
0.59639
Expected RN Staffing Hours per Resident per Day
0.85762
Expected Total Nurse Staffing Hours per Resident per Day
3.65870
Adjusted CNA Staffing Hours per Resident per Day
3.42232
Adjusted LPN Staffing Hours per Resident per Day
0.84372
Adjusted RN Staffing Hours per Resident per Day
0.39479
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55497
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
28
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-14
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
58.66700
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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