Minnesota Nursing Homes >> Minneapolis Nursing Homes >> Ebenezer Care Center

Ebenezer Care Center - Minneapolis Nursing Home

General Information

UPDATE
Federal Provider Number
245587
Provider Name
EBENEZER CARE CENTER
Provider Address
2545 PORTLAND AVENUE SOUTH
MINNEAPOLIS, MN 55404
Provider Phone Number
(612) 879-2262
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
127
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EBENEZER SOCIETY
Date First Approved to Provide Medicare and Medicaid services
1991-06-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.64790
Reported LPN Staffing Hours per Resident per Day
0.71345
Reported RN Staffing Hours per Resident per Day
0.75462
Reported Licensed Staffing Hours per Resident per Day
1.46807
Reported Total Nurse Staffing Hours per Resident per Day
3.11597
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02521
Expected CNA Staffing Hours per Resident per Day
2.08399
Expected LPN Staffing Hours per Resident per Day
0.57352
Expected RN Staffing Hours per Resident per Day
0.78456
Expected Total Nurse Staffing Hours per Resident per Day
3.44208
Adjusted CNA Staffing Hours per Resident per Day
1.94024
Adjusted LPN Staffing Hours per Resident per Day
1.03250
Adjusted RN Staffing Hours per Resident per Day
0.71869
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64900
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-02
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
24
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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