Carondelet Village Care Center - Saint Paul Nursing Home

General Information

UPDATE
Federal Provider Number
245617
Provider Name
CARONDELET VILLAGE CARE CENTER
Provider Address
525 FAIRVIEW AVENUE SOUTH
SAINT PAUL, MN 55116
Provider Phone Number
6516955000
Provider SSA County
610
Provider County Name
Ramsey
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CV SENIOR HOUSING LLC
Date First Approved to Provide Medicare and Medicaid services
2012-08-27
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.66556
Reported LPN Staffing Hours per Resident per Day
0.36333
Reported RN Staffing Hours per Resident per Day
0.90444
Reported Licensed Staffing Hours per Resident per Day
1.26778
Reported Total Nurse Staffing Hours per Resident per Day
3.93333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25889
Expected CNA Staffing Hours per Resident per Day
2.46762
Expected LPN Staffing Hours per Resident per Day
0.58720
Expected RN Staffing Hours per Resident per Day
0.92578
Expected Total Nurse Staffing Hours per Resident per Day
3.98061
Adjusted CNA Staffing Hours per Resident per Day
2.65052
Adjusted LPN Staffing Hours per Resident per Day
0.51356
Adjusted RN Staffing Hours per Resident per Day
0.72998
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98303
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-07
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-26
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
24.66700
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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