Caledonia Care And Rehabilitation Center - Caledonia Nursing Home

General Information

UPDATE
Federal Provider Number
245499
Provider Name
CALEDONIA CARE AND REHABILITATION CENTER
Provider Address
425 NORTH BADGER STREET
CALEDONIA, MN 55921
Provider Phone Number
5077253351
Provider SSA County
270
Provider County Name
Houston
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR MANAGEMENT INC
Date First Approved to Provide Medicare and Medicaid services
1987-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.63265
Reported LPN Staffing Hours per Resident per Day
0.63061
Reported RN Staffing Hours per Resident per Day
0.56837
Reported Licensed Staffing Hours per Resident per Day
1.19898
Reported Total Nurse Staffing Hours per Resident per Day
3.83163
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09286
Expected CNA Staffing Hours per Resident per Day
2.37417
Expected LPN Staffing Hours per Resident per Day
0.52065
Expected RN Staffing Hours per Resident per Day
0.72805
Expected Total Nurse Staffing Hours per Resident per Day
3.62288
Adjusted CNA Staffing Hours per Resident per Day
2.72083
Adjusted LPN Staffing Hours per Resident per Day
1.00530
Adjusted RN Staffing Hours per Resident per Day
0.58332
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26316
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
54.00000
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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