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Adams Health Care Center - Adams Nursing Home

General Information

UPDATE
Federal Provider Number
245509
Provider Name
ADAMS HEALTH CARE CENTER
Provider Address
810 WEST MAIN STREET
ADAMS, MN 55909
Provider Phone Number
5075823263
Provider SSA County
490
Provider County Name
Mower
Ownership Type
Government - City
Number of Certified Beds
49
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADAMS HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1988-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.30778
Reported LPN Staffing Hours per Resident per Day
0.43222
Reported RN Staffing Hours per Resident per Day
0.94222
Reported Licensed Staffing Hours per Resident per Day
1.37444
Reported Total Nurse Staffing Hours per Resident per Day
3.68222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08556
Expected CNA Staffing Hours per Resident per Day
2.55063
Expected LPN Staffing Hours per Resident per Day
0.62580
Expected RN Staffing Hours per Resident per Day
1.03887
Expected Total Nurse Staffing Hours per Resident per Day
4.21529
Adjusted CNA Staffing Hours per Resident per Day
2.22008
Adjusted LPN Staffing Hours per Resident per Day
0.57325
Adjusted RN Staffing Hours per Resident per Day
0.67769
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52114
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-20
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-22
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
55.33300
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

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