Cerenity Care Center - White Bear Lake - White Bear Lake Nursing Home
General Information
UPDATEFederal Provider Number
245300
Provider Name
CERENITY CARE CENTER - WHITE BEAR LAKE
Provider Address
1891 FLORENCE STREET
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
Provider Phone Number
(651) 232-1818
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
138
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CERENITY CARE CENTER-WHITE BEAR LAKE
Date First Approved to Provide Medicare and Medicaid services
1985-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.90699
Reported LPN Staffing Hours per Resident per Day
0.76471
Reported RN Staffing Hours per Resident per Day
0.97243
Reported Licensed Staffing Hours per Resident per Day
1.73713
Reported Total Nurse Staffing Hours per Resident per Day
5.64413
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13015
Expected CNA Staffing Hours per Resident per Day
2.50803
Expected LPN Staffing Hours per Resident per Day
0.58913
Expected RN Staffing Hours per Resident per Day
0.91081
Expected Total Nurse Staffing Hours per Resident per Day
4.00797
Adjusted CNA Staffing Hours per Resident per Day
3.82236
Adjusted LPN Staffing Hours per Resident per Day
1.07737
Adjusted RN Staffing Hours per Resident per Day
0.79775
Adjusted Total Nurse Staffing Hours per Resident per Day
5.67643
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
2014-09-25
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
24.00000
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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