Auburn Manor - Chaska Nursing Home
General Information
UPDATEFederal Provider Number
245604
Provider Name
AUBURN MANOR
Provider Address
501 OAK STREET
CHASKA, MN 55318
CHASKA, MN 55318
Provider Phone Number
(952) 448-9303
Provider SSA County
90
Provider County Name
Carver
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
61
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUBURN MANOR
Date First Approved to Provide Medicare and Medicaid services
1992-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
2.84917
Reported LPN Staffing Hours per Resident per Day
0.55750
Reported RN Staffing Hours per Resident per Day
0.82833
Reported Licensed Staffing Hours per Resident per Day
1.38583
Reported Total Nurse Staffing Hours per Resident per Day
4.23500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03833
Expected CNA Staffing Hours per Resident per Day
2.43992
Expected LPN Staffing Hours per Resident per Day
0.59430
Expected RN Staffing Hours per Resident per Day
0.92753
Expected Total Nurse Staffing Hours per Resident per Day
3.96175
Adjusted CNA Staffing Hours per Resident per Day
2.86526
Adjusted LPN Staffing Hours per Resident per Day
0.77860
Adjusted RN Staffing Hours per Resident per Day
0.66729
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30892
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
56
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
56
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
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
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
2012-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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