Minnesota Nursing Homes >> Osakis Nursing Homes >> Community Memorial Home

Community Memorial Home - Osakis Nursing Home

General Information

UPDATE
Federal Provider Number
245465
Provider Name
COMMUNITY MEMORIAL HOME
Provider Address
410 WEST MAIN STREET
OSAKIS, MN 56360
Provider Phone Number
3208592142
Provider SSA County
200
Provider County Name
Douglas
Ownership Type
Non profit - Other
Number of Certified Beds
50
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COMMUNITY MEMORIAL HOME AT OSAKIS MINN INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2.70833
Reported LPN Staffing Hours per Resident per Day
0.96111
Reported RN Staffing Hours per Resident per Day
0.71111
Reported Licensed Staffing Hours per Resident per Day
1.67222
Reported Total Nurse Staffing Hours per Resident per Day
4.38055
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12083
Expected CNA Staffing Hours per Resident per Day
2.69709
Expected LPN Staffing Hours per Resident per Day
0.52254
Expected RN Staffing Hours per Resident per Day
0.76306
Expected Total Nurse Staffing Hours per Resident per Day
3.98270
Adjusted CNA Staffing Hours per Resident per Day
2.46392
Adjusted LPN Staffing Hours per Resident per Day
1.52661
Adjusted RN Staffing Hours per Resident per Day
0.69633
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43357
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-11-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
205
Cycle 2 Standard Health Survey Date
2014-04-17
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
106.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
32913
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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