Crystal Care Center - Crystal Nursing Home
General Information
UPDATEFederal Provider Number
245289
Provider Name
CRYSTAL CARE CENTER
Provider Address
3245 VERA CRUZ AVENUE NORTH
CRYSTAL, MN 55422
CRYSTAL, MN 55422
Provider Phone Number
(763) 535-6260
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CRYSTAL CARE & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1984-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.13762
Reported LPN Staffing Hours per Resident per Day
1.07327
Reported RN Staffing Hours per Resident per Day
0.48465
Reported Licensed Staffing Hours per Resident per Day
1.55792
Reported Total Nurse Staffing Hours per Resident per Day
3.69554
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01980
Expected CNA Staffing Hours per Resident per Day
2.35159
Expected LPN Staffing Hours per Resident per Day
0.59948
Expected RN Staffing Hours per Resident per Day
0.88185
Expected Total Nurse Staffing Hours per Resident per Day
3.83292
Adjusted CNA Staffing Hours per Resident per Day
2.23043
Adjusted LPN Staffing Hours per Resident per Day
1.48597
Adjusted RN Staffing Hours per Resident per Day
0.41065
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88642
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
22
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
140
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
96.00000
Number of Facility Reported Incidents
1
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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