Bayshore Residence & Rehab Ctr - Duluth Nursing Home
General Information
UPDATEFederal Provider Number
245227
Provider Name
BAYSHORE RESIDENCE & REHAB CTR
Provider Address
1601 ST LOUIS AVENUE
DULUTH, MN 55802
DULUTH, MN 55802
Provider Phone Number
2187278651
Provider SSA County
680
Provider County Name
St. Louis
Ownership Type
For profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAYSHORE DULUTH MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1979-01-22
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
2.72458
Reported LPN Staffing Hours per Resident per Day
0.34750
Reported RN Staffing Hours per Resident per Day
0.96250
Reported Licensed Staffing Hours per Resident per Day
1.31000
Reported Total Nurse Staffing Hours per Resident per Day
4.03458
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05292
Expected CNA Staffing Hours per Resident per Day
2.34601
Expected LPN Staffing Hours per Resident per Day
0.64379
Expected RN Staffing Hours per Resident per Day
0.99527
Expected Total Nurse Staffing Hours per Resident per Day
3.98506
Adjusted CNA Staffing Hours per Resident per Day
2.84965
Adjusted LPN Staffing Hours per Resident per Day
0.44801
Adjusted RN Staffing Hours per Resident per Day
0.72260
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08099
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
60
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
132.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
3
Total Amount of Fines in Dollars
14560
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Franciscan Health Center
3910 Minnesota Avenue |
DULUTH MN 55802 | 2 miles away
Aftenro Home
510 West College Street |
DULUTH MN 55811 | 3.3 miles away
Benedictine Health Center
935 Kenwood Avenue |
DULUTH MN 55811 | 3.3 miles away
Viewcrest Health Center
3111 Church Street |
DULUTH MN 55811 | 3.7 miles away
Chris Jensen Health & Rehabilitation Center
2501 Rice Lake Road |
DULUTH MN 55811 | 4.1 miles away
Lakeshore Inc
4002 London Road |
DULUTH MN 55804 | 4.3 miles away
St Eligius Health Center
7700 Grand Avenue |
DULUTH MN 55807 | 5.9 miles away
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