Dow Rummel Village - Sioux Falls Nursing Home

General Information

UPDATE
Federal Provider Number
435127
Provider Name
DOW RUMMEL VILLAGE
Provider Address
1321 W DOW RUMMEL ST
SIOUX FALLS, SD 57104
Provider Phone Number
6053361490
Provider SSA County
490
Provider County Name
Minnehaha
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUMMEL MEMORIAL HOME, INC
Date First Approved to Provide Medicare and Medicaid services
2010-02-16
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
3.72900
Reported LPN Staffing Hours per Resident per Day
0.23800
Reported RN Staffing Hours per Resident per Day
0.99400
Reported Licensed Staffing Hours per Resident per Day
1.23200
Reported Total Nurse Staffing Hours per Resident per Day
4.96100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10700
Expected CNA Staffing Hours per Resident per Day
2.58196
Expected LPN Staffing Hours per Resident per Day
0.52642
Expected RN Staffing Hours per Resident per Day
0.78161
Expected Total Nurse Staffing Hours per Resident per Day
3.88999
Adjusted CNA Staffing Hours per Resident per Day
3.54376
Adjusted LPN Staffing Hours per Resident per Day
0.37525
Adjusted RN Staffing Hours per Resident per Day
0.95024
Adjusted Total Nurse Staffing Hours per Resident per Day
5.14071
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-04-02
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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