North Dakota Nursing Homes >> Tioga Nursing Homes >> Tioga Medical Center Ltc

Tioga Medical Center Ltc - Tioga Nursing Home

General Information

UPDATE
Federal Provider Number
355034
Provider Name
TIOGA MEDICAL CENTER LTC
Provider Address
810 N WELO ST
TIOGA, ND 58852
Provider Phone Number
7016643305
Provider SSA County
520
Provider County Name
Williams
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TIOGA MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-03-01
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.64828
Reported LPN Staffing Hours per Resident per Day
0.25517
Reported RN Staffing Hours per Resident per Day
1.17586
Reported Licensed Staffing Hours per Resident per Day
1.43103
Reported Total Nurse Staffing Hours per Resident per Day
4.07931
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03621
Expected CNA Staffing Hours per Resident per Day
2.45354
Expected LPN Staffing Hours per Resident per Day
0.55903
Expected RN Staffing Hours per Resident per Day
0.75156
Expected Total Nurse Staffing Hours per Resident per Day
3.76412
Adjusted CNA Staffing Hours per Resident per Day
2.64846
Adjusted LPN Staffing Hours per Resident per Day
0.37886
Adjusted RN Staffing Hours per Resident per Day
1.16904
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36843
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
20
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
12
Cycle 2 Standard Health Survey Date
2013-09-19
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
16.00000
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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