Augustana Hcc Of Mpls - Minneapolis Nursing Home
General Information
UPDATEFederal Provider Number
245242
Provider Name
AUGUSTANA HCC OF MPLS
Provider Address
1007 EAST 14TH STREET
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
Provider Phone Number
(612) 238-5101
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
268
Number of Residents in Certified Beds
250
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
1982-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.84920
Reported LPN Staffing Hours per Resident per Day
0.66060
Reported RN Staffing Hours per Resident per Day
0.82160
Reported Licensed Staffing Hours per Resident per Day
1.48220
Reported Total Nurse Staffing Hours per Resident per Day
3.33140
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04920
Expected CNA Staffing Hours per Resident per Day
2.31221
Expected LPN Staffing Hours per Resident per Day
0.59812
Expected RN Staffing Hours per Resident per Day
0.94766
Expected Total Nurse Staffing Hours per Resident per Day
3.85798
Adjusted CNA Staffing Hours per Resident per Day
1.96236
Adjusted LPN Staffing Hours per Resident per Day
0.91670
Adjusted RN Staffing Hours per Resident per Day
0.64781
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48072
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-05-02
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
16
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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