Central Todd County Care Center - Clarissa Nursing Home
General Information
UPDATEFederal Provider Number
245521
Provider Name
CENTRAL TODD COUNTY CARE CENTER
Provider Address
406 EAST HIGHWAY 71, PO BOX 38
CLARISSA, MN 56440
CLARISSA, MN 56440
Provider Phone Number
(218) 756-3636
Provider SSA County
760
Provider County Name
Todd
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTRAL TODD COUNTY CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1988-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.60179
Reported LPN Staffing Hours per Resident per Day
0.91696
Reported RN Staffing Hours per Resident per Day
0.54643
Reported Licensed Staffing Hours per Resident per Day
1.46339
Reported Total Nurse Staffing Hours per Resident per Day
4.06518
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.47264
Expected LPN Staffing Hours per Resident per Day
0.55600
Expected RN Staffing Hours per Resident per Day
0.72134
Expected Total Nurse Staffing Hours per Resident per Day
3.74998
Adjusted CNA Staffing Hours per Resident per Day
2.58186
Adjusted LPN Staffing Hours per Resident per Day
1.36884
Adjusted RN Staffing Hours per Resident per Day
0.56602
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36971
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
133
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
133
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
71.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
25188
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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