Adrian Care Center - Adrian Nursing Home
General Information
UPDATEFederal Provider Number
245547
Provider Name
ADRIAN CARE CENTER
Provider Address
603 LOUISIANA AVENUE
ADRIAN, MN 56110
ADRIAN, MN 56110
Provider Phone Number
5074832580
Provider SSA County
520
Provider County Name
Nobles
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADRIAN CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1991-02-01
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
5
QM Rating Footnote
Staffing Rating
3
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
1.88846
Reported LPN Staffing Hours per Resident per Day
0.19038
Reported RN Staffing Hours per Resident per Day
0.73846
Reported Licensed Staffing Hours per Resident per Day
0.92885
Reported Total Nurse Staffing Hours per Resident per Day
2.81730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10962
Expected CNA Staffing Hours per Resident per Day
2.38421
Expected LPN Staffing Hours per Resident per Day
0.52024
Expected RN Staffing Hours per Resident per Day
0.67127
Expected Total Nurse Staffing Hours per Resident per Day
3.57571
Adjusted CNA Staffing Hours per Resident per Day
1.94350
Adjusted LPN Staffing Hours per Resident per Day
0.30374
Adjusted RN Staffing Hours per Resident per Day
0.82199
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17594
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
107
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
107
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-12
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
20
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
82.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4908
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Parkview Manor Nursing Home
308 Sherman Avenue |
ELLSWORTH MN 56129 | 8.5 miles away
South Shore Care Center
1307 South Shore Drive Po Box 69 |
WORTHINGTON MN 56187 | 16.2 miles away
Crossroads Care Center
965 Mcmillan Street |
WORTHINGTON MN 56187 | 16.6 miles away
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