Ebenezer Ridges Geriatric Care Center - Burnsville Nursing Home
General Information
UPDATEFederal Provider Number
245213
Provider Name
EBENEZER RIDGES GERIATRIC CARE CENTER
Provider Address
13820 COMMUNITY DRIVE
BURNSVILLE, MN 55337
BURNSVILLE, MN 55337
Provider Phone Number
(952) 898-8400
Provider SSA County
180
Provider County Name
Dakota
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EBENEZER RIDGES
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.41634
Reported LPN Staffing Hours per Resident per Day
0.76287
Reported RN Staffing Hours per Resident per Day
1.32624
Reported Licensed Staffing Hours per Resident per Day
2.08911
Reported Total Nurse Staffing Hours per Resident per Day
4.50545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12327
Expected CNA Staffing Hours per Resident per Day
2.62016
Expected LPN Staffing Hours per Resident per Day
0.69526
Expected RN Staffing Hours per Resident per Day
1.13716
Expected Total Nurse Staffing Hours per Resident per Day
4.45258
Adjusted CNA Staffing Hours per Resident per Day
2.26283
Adjusted LPN Staffing Hours per Resident per Day
0.91071
Adjusted RN Staffing Hours per Resident per Day
0.87144
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07876
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
0
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
24
Cycle 3 Standard Health Survey Date
2013-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
18.00000
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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