Bethel Care Center - Saint Paul Nursing Home
General Information
UPDATEFederal Provider Number
245295
Provider Name
BETHEL CARE CENTER
Provider Address
420 MARSHALL AVENUE
SAINT PAUL, MN 55102
SAINT PAUL, MN 55102
Provider Phone Number
(651) 224-2368
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
131
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WELCOV HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1985-12-01
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.03300
Reported LPN Staffing Hours per Resident per Day
0.85500
Reported RN Staffing Hours per Resident per Day
1.24300
Reported Licensed Staffing Hours per Resident per Day
2.09800
Reported Total Nurse Staffing Hours per Resident per Day
4.13100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07300
Expected CNA Staffing Hours per Resident per Day
2.53882
Expected LPN Staffing Hours per Resident per Day
0.83172
Expected RN Staffing Hours per Resident per Day
1.30891
Expected Total Nurse Staffing Hours per Resident per Day
4.67945
Adjusted CNA Staffing Hours per Resident per Day
1.96484
Adjusted LPN Staffing Hours per Resident per Day
0.85324
Adjusted RN Staffing Hours per Resident per Day
0.70957
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55846
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-03-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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