Augustana Chapel View Care Center - Hopkins Nursing Home
General Information
UPDATEFederal Provider Number
245493
Provider Name
AUGUSTANA CHAPEL VIEW CARE CENTER
Provider Address
615 MINNETONKA MILLS ROAD
HOPKINS, MN 55343
HOPKINS, MN 55343
Provider Phone Number
9529382761
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Church related
Number of Certified Beds
118
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUGUSTANA CHAPEL VIEW HOMES INC
Date First Approved to Provide Medicare and Medicaid services
1987-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.17500
Reported LPN Staffing Hours per Resident per Day
0.87900
Reported RN Staffing Hours per Resident per Day
1.05250
Reported Licensed Staffing Hours per Resident per Day
1.93150
Reported Total Nurse Staffing Hours per Resident per Day
4.10650
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11850
Expected CNA Staffing Hours per Resident per Day
2.48941
Expected LPN Staffing Hours per Resident per Day
0.62783
Expected RN Staffing Hours per Resident per Day
1.05896
Expected Total Nurse Staffing Hours per Resident per Day
4.17620
Adjusted CNA Staffing Hours per Resident per Day
2.14380
Adjusted LPN Staffing Hours per Resident per Day
1.16204
Adjusted RN Staffing Hours per Resident per Day
0.74264
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96362
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-21
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
58.66700
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
Nursiong Homes Nearby
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