Appleton Municipal Hospital - Appleton Nursing Home
General Information
UPDATEFederal Provider Number
245231
Provider Name
APPLETON MUNICIPAL HOSPITAL
Provider Address
30 SOUTH BEHL STREET
APPLETON, MN 56208
APPLETON, MN 56208
Provider Phone Number
(320) 289-2422
Provider SSA County
750
Provider County Name
Swift
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
THE BOARD OF APPLETON MUNICIPAL HOSPITAL AND NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1982-08-01
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
5
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
2.95333
Reported LPN Staffing Hours per Resident per Day
0.74444
Reported RN Staffing Hours per Resident per Day
0.63889
Reported Licensed Staffing Hours per Resident per Day
1.38333
Reported Total Nurse Staffing Hours per Resident per Day
4.33666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06333
Expected CNA Staffing Hours per Resident per Day
2.37525
Expected LPN Staffing Hours per Resident per Day
0.56598
Expected RN Staffing Hours per Resident per Day
0.78196
Expected Total Nurse Staffing Hours per Resident per Day
3.72319
Adjusted CNA Staffing Hours per Resident per Day
3.05087
Adjusted LPN Staffing Hours per Resident per Day
1.09171
Adjusted RN Staffing Hours per Resident per Day
0.61049
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69507
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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