North Dakota Veterans Home - Lisbon Nursing Home

General Information

UPDATE
Federal Provider Number
355114
Provider Name
NORTH DAKOTA VETERANS HOME
Provider Address
1600 VETERANS DRIVE
LISBON, ND 58054
Provider Phone Number
7016836500
Provider SSA County
360
Provider County Name
Ransom
Ownership Type
Government - State
Number of Certified Beds
52
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH DAKOTA VETERANS HOME
Date First Approved to Provide Medicare and Medicaid services
1991-12-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
3.82596
Reported LPN Staffing Hours per Resident per Day
0.31154
Reported RN Staffing Hours per Resident per Day
1.05288
Reported Licensed Staffing Hours per Resident per Day
1.36442
Reported Total Nurse Staffing Hours per Resident per Day
5.19038
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00865
Expected CNA Staffing Hours per Resident per Day
1.93065
Expected LPN Staffing Hours per Resident per Day
0.55935
Expected RN Staffing Hours per Resident per Day
0.77765
Expected Total Nurse Staffing Hours per Resident per Day
3.26765
Adjusted CNA Staffing Hours per Resident per Day
4.86248
Adjusted LPN Staffing Hours per Resident per Day
0.46229
Adjusted RN Staffing Hours per Resident per Day
1.01166
Adjusted Total Nurse Staffing Hours per Resident per Day
6.40274
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-03-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-03
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
2012-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
3.33300
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

Nursiong Homes Nearby

Parkside Lutheran Home

501 3rd Ave W | LISBON ND 58054 | 0.4 mile away

Maryhill Manor

110 Hillcrest Dr | ENDERLIN ND 58027 | 13.4 miles away

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