Benedictine Living Community Winsted - Winsted Nursing Home

General Information

UPDATE
Federal Provider Number
245459
Provider Name
BENEDICTINE LIVING COMMUNITY WINSTED
Provider Address
551 FOURTH STREET NORTH
WINSTED, MN 55395
Provider Phone Number
3204852151
Provider SSA County
420
Provider County Name
Mc Leod
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BENEDICTINE LIVING COMMUNITY OF WINSTED
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90000
Reported LPN Staffing Hours per Resident per Day
0.62315
Reported RN Staffing Hours per Resident per Day
0.59815
Reported Licensed Staffing Hours per Resident per Day
1.22130
Reported Total Nurse Staffing Hours per Resident per Day
4.12130
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09537
Expected CNA Staffing Hours per Resident per Day
2.63051
Expected LPN Staffing Hours per Resident per Day
0.69493
Expected RN Staffing Hours per Resident per Day
1.07046
Expected Total Nurse Staffing Hours per Resident per Day
4.39590
Adjusted CNA Staffing Hours per Resident per Day
2.70507
Adjusted LPN Staffing Hours per Resident per Day
0.74427
Adjusted RN Staffing Hours per Resident per Day
0.41752
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77910
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
28
Cycle 2 Standard Health Survey Date
2014-07-24
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
9000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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