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Clarkfield Care Center - Clarkfield Nursing Home

General Information

UPDATE
Federal Provider Number
245551
Provider Name
CLARKFIELD CARE CENTER
Provider Address
805 FIFTH STREET, BOX 458
CLARKFIELD, MN 56223
Provider Phone Number
3206697561
Provider SSA County
860
Provider County Name
Yellow Medcine
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARKFIELD CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.04595
Reported LPN Staffing Hours per Resident per Day
0.71351
Reported RN Staffing Hours per Resident per Day
0.56351
Reported Licensed Staffing Hours per Resident per Day
1.27703
Reported Total Nurse Staffing Hours per Resident per Day
4.32297
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00811
Expected CNA Staffing Hours per Resident per Day
2.58069
Expected LPN Staffing Hours per Resident per Day
0.59402
Expected RN Staffing Hours per Resident per Day
0.87703
Expected Total Nurse Staffing Hours per Resident per Day
4.05174
Adjusted CNA Staffing Hours per Resident per Day
2.89606
Adjusted LPN Staffing Hours per Resident per Day
0.99696
Adjusted RN Staffing Hours per Resident per Day
0.48009
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30073
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
16
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-12
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
23.33300
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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