Minnesota Nursing Homes >> Ely Nursing Homes >> Boundary Waters Care Center

Boundary Waters Care Center - Ely Nursing Home

General Information

UPDATE
Federal Provider Number
245138
Provider Name
BOUNDARY WATERS CARE CENTER
Provider Address
200 WEST CONAN STREET
ELY, MN 55731
Provider Phone Number
2183658705
Provider SSA County
680
Provider County Name
St. Louis
Ownership Type
Non profit - Other
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BOUNDARY WATERS CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1967-07-24
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.08571
Reported LPN Staffing Hours per Resident per Day
0.25286
Reported RN Staffing Hours per Resident per Day
0.76714
Reported Licensed Staffing Hours per Resident per Day
1.02000
Reported Total Nurse Staffing Hours per Resident per Day
3.10571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11429
Expected CNA Staffing Hours per Resident per Day
2.11449
Expected LPN Staffing Hours per Resident per Day
0.57015
Expected RN Staffing Hours per Resident per Day
0.91314
Expected Total Nurse Staffing Hours per Resident per Day
3.59778
Adjusted CNA Staffing Hours per Resident per Day
2.42031
Adjusted LPN Staffing Hours per Resident per Day
0.36810
Adjusted RN Staffing Hours per Resident per Day
0.62773
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47959
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-15
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
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-12-18
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
40
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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