Crossroads Care Center - Worthington Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245395
Provider Name
CROSSROADS CARE CENTER
Provider Address
965 MCMILLAN STREET
WORTHINGTON, MN 56187
WORTHINGTON, MN 56187
Provider Phone Number
(507) 376-5312
Provider SSA County
520
Provider County Name
Nobles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATCHISON ENTERPRISES INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1987-01-01
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.78409
Reported LPN Staffing Hours per Resident per Day
0.61136
Reported RN Staffing Hours per Resident per Day
0.89659
Reported Licensed Staffing Hours per Resident per Day
1.50795
Reported Total Nurse Staffing Hours per Resident per Day
4.29204
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02159
Expected CNA Staffing Hours per Resident per Day
2.59278
Expected LPN Staffing Hours per Resident per Day
0.62801
Expected RN Staffing Hours per Resident per Day
0.91566
Expected Total Nurse Staffing Hours per Resident per Day
4.13645
Adjusted CNA Staffing Hours per Resident per Day
2.63474
Adjusted LPN Staffing Hours per Resident per Day
0.80800
Adjusted RN Staffing Hours per Resident per Day
0.73164
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18252
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-17
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
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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