Cerenity Residence On Humboldt - Saint Paul Nursing Home

General Information

UPDATE
Federal Provider Number
245479
Provider Name
CERENITY RESIDENCE ON HUMBOLDT
Provider Address
514 HUMBOLDT AVENUE
SAINT PAUL, MN 55107
Provider Phone Number
(651) 220-1702
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
14
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CERENITY SENIOR CARE
Date First Approved to Provide Medicare and Medicaid services
1987-09-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
4.58929
Reported LPN Staffing Hours per Resident per Day
1.55000
Reported RN Staffing Hours per Resident per Day
3.38571
Reported Licensed Staffing Hours per Resident per Day
4.93571
Reported Total Nurse Staffing Hours per Resident per Day
9.52500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.81786
Expected CNA Staffing Hours per Resident per Day
2.78215
Expected LPN Staffing Hours per Resident per Day
1.05701
Expected RN Staffing Hours per Resident per Day
2.19971
Expected Total Nurse Staffing Hours per Resident per Day
6.03887
Adjusted CNA Staffing Hours per Resident per Day
4.04750
Adjusted LPN Staffing Hours per Resident per Day
1.21711
Adjusted RN Staffing Hours per Resident per Day
1.15006
Adjusted Total Nurse Staffing Hours per Resident per Day
6.35786
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
2014-02-27
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
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
3.33300
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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