Catholic Eldercare On Main - Minneapolis Nursing Home

General Information

UPDATE
Federal Provider Number
245439
Provider Name
CATHOLIC ELDERCARE ON MAIN
Provider Address
817 MAIN STREET NORTHEAST
MINNEAPOLIS, MN 55413
Provider Phone Number
6123791370
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CATHOLIC ELDERCARE
Date First Approved to Provide Medicare and Medicaid services
1987-03-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.98085
Reported LPN Staffing Hours per Resident per Day
0.64539
Reported RN Staffing Hours per Resident per Day
0.86525
Reported Licensed Staffing Hours per Resident per Day
1.51064
Reported Total Nurse Staffing Hours per Resident per Day
4.49149
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09610
Expected CNA Staffing Hours per Resident per Day
2.58752
Expected LPN Staffing Hours per Resident per Day
0.58454
Expected RN Staffing Hours per Resident per Day
0.81293
Expected Total Nurse Staffing Hours per Resident per Day
3.98499
Adjusted CNA Staffing Hours per Resident per Day
2.82669
Adjusted LPN Staffing Hours per Resident per Day
0.91640
Adjusted RN Staffing Hours per Resident per Day
0.79529
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54323
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-12-13
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
10530
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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