North Dakota Nursing Homes >> Valley City Nursing Homes >> Sheyenne Care Center

Sheyenne Care Center - Valley City Nursing Home

General Information

UPDATE
Federal Provider Number
355077
Provider Name
SHEYENNE CARE CENTER
Provider Address
979 CENTRAL AVE N
VALLEY CITY, ND 58072
Provider Phone Number
7018458222
Provider SSA County
10
Provider County Name
Barnes
Ownership Type
Non profit - Church related
Number of Certified Beds
170
Number of Residents in Certified Beds
167
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
1978-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.36407
Reported LPN Staffing Hours per Resident per Day
0.56617
Reported RN Staffing Hours per Resident per Day
0.53323
Reported Licensed Staffing Hours per Resident per Day
1.09940
Reported Total Nurse Staffing Hours per Resident per Day
4.46347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03413
Expected CNA Staffing Hours per Resident per Day
2.36782
Expected LPN Staffing Hours per Resident per Day
0.55934
Expected RN Staffing Hours per Resident per Day
0.77520
Expected Total Nurse Staffing Hours per Resident per Day
3.70237
Adjusted CNA Staffing Hours per Resident per Day
3.48608
Adjusted LPN Staffing Hours per Resident per Day
0.84013
Adjusted RN Staffing Hours per Resident per Day
0.51397
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85954
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-05
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
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-23
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
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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