Cerenity Care Center On Humboldt - Saint Paul Nursing Home

General Information

UPDATE
Federal Provider Number
245255
Provider Name
CERENITY CARE CENTER ON HUMBOLDT
Provider Address
512 HUMBOLDT AVENUE
SAINT PAUL, MN 55107
Provider Phone Number
(651) 227-8091
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CERENITY SENIOR CARE
Date First Approved to Provide Medicare and Medicaid services
1982-09-13
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.29112
Reported LPN Staffing Hours per Resident per Day
0.48598
Reported RN Staffing Hours per Resident per Day
1.06262
Reported Licensed Staffing Hours per Resident per Day
1.54860
Reported Total Nurse Staffing Hours per Resident per Day
3.83972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05327
Expected CNA Staffing Hours per Resident per Day
2.54237
Expected LPN Staffing Hours per Resident per Day
0.60454
Expected RN Staffing Hours per Resident per Day
0.89279
Expected Total Nurse Staffing Hours per Resident per Day
4.03971
Adjusted CNA Staffing Hours per Resident per Day
2.21121
Adjusted LPN Staffing Hours per Resident per Day
0.66722
Adjusted RN Staffing Hours per Resident per Day
0.88933
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83135
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
25.33300
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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