Cook Community Hospital C&nc - Cook Nursing Home
General Information
UPDATEFederal Provider Number
245392
Provider Name
COOK COMMUNITY HOSPITAL C&NC
Provider Address
10 SOUTHEAST FIFTH STREET
COOK, MN 55723
COOK, MN 55723
Provider Phone Number
(218) 666-5945
Provider SSA County
680
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
28
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COOK HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1986-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.28261
Reported LPN Staffing Hours per Resident per Day
0.55000
Reported RN Staffing Hours per Resident per Day
1.02826
Reported Licensed Staffing Hours per Resident per Day
1.57826
Reported Total Nurse Staffing Hours per Resident per Day
4.86087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30652
Expected CNA Staffing Hours per Resident per Day
2.52132
Expected LPN Staffing Hours per Resident per Day
0.61494
Expected RN Staffing Hours per Resident per Day
0.85340
Expected Total Nurse Staffing Hours per Resident per Day
3.98967
Adjusted CNA Staffing Hours per Resident per Day
3.19458
Adjusted LPN Staffing Hours per Resident per Day
0.74234
Adjusted RN Staffing Hours per Resident per Day
0.90030
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91111
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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