Annandale Care Center - Annandale Nursing Home

General Information

UPDATE
Federal Provider Number
245364
Provider Name
ANNANDALE CARE CENTER
Provider Address
500 PARK STREET EAST
ANNANDALE, MN 55302
Provider Phone Number
(320) 274-3737
Provider SSA County
850
Provider County Name
Wright
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANNANDALE CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1986-11-01
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06442
Reported LPN Staffing Hours per Resident per Day
0.75481
Reported RN Staffing Hours per Resident per Day
0.55962
Reported Licensed Staffing Hours per Resident per Day
1.31442
Reported Total Nurse Staffing Hours per Resident per Day
3.37885
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20288
Expected CNA Staffing Hours per Resident per Day
2.54298
Expected LPN Staffing Hours per Resident per Day
0.62725
Expected RN Staffing Hours per Resident per Day
0.97334
Expected Total Nurse Staffing Hours per Resident per Day
4.14358
Adjusted CNA Staffing Hours per Resident per Day
1.99194
Adjusted LPN Staffing Hours per Resident per Day
0.99879
Adjusted RN Staffing Hours per Resident per Day
0.42960
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28697
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
10.66700
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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