Belgrade Nursing Home - Belgrade Nursing Home

General Information

UPDATE
Federal Provider Number
245418
Provider Name
BELGRADE NURSING HOME
Provider Address
103 SCHOOL STREET, PO BOX 340
BELGRADE, MN 56312
Provider Phone Number
(320) 254-8215
Provider SSA County
720
Provider County Name
Stearns
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELGRADE NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
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
4
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
2.47396
Reported LPN Staffing Hours per Resident per Day
0.46458
Reported RN Staffing Hours per Resident per Day
0.73229
Reported Licensed Staffing Hours per Resident per Day
1.19688
Reported Total Nurse Staffing Hours per Resident per Day
3.67083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03542
Expected CNA Staffing Hours per Resident per Day
2.41571
Expected LPN Staffing Hours per Resident per Day
0.54987
Expected RN Staffing Hours per Resident per Day
0.78540
Expected Total Nurse Staffing Hours per Resident per Day
3.75098
Adjusted CNA Staffing Hours per Resident per Day
2.51287
Adjusted LPN Staffing Hours per Resident per Day
0.70126
Adjusted RN Staffing Hours per Resident per Day
0.69667
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94477
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
22
Cycle 3 Total Health Score
66
Total Weighted Health Survey Score
35.66700
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
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