Ecumen Scenic Shores - Two Harbors Nursing Home

General Information

UPDATE
Federal Provider Number
245471
Provider Name
ECUMEN SCENIC SHORES
Provider Address
402 - 13TH AVENUE
TWO HARBORS, MN 55616
Provider Phone Number
2188348374
Provider SSA County
370
Provider County Name
Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ECUMEN
Date First Approved to Provide Medicare and Medicaid services
1987-05-01
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
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
2.93415
Reported LPN Staffing Hours per Resident per Day
0.30610
Reported RN Staffing Hours per Resident per Day
1.14390
Reported Licensed Staffing Hours per Resident per Day
1.45000
Reported Total Nurse Staffing Hours per Resident per Day
4.38415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01951
Expected CNA Staffing Hours per Resident per Day
2.53533
Expected LPN Staffing Hours per Resident per Day
0.58314
Expected RN Staffing Hours per Resident per Day
0.85727
Expected Total Nurse Staffing Hours per Resident per Day
3.97574
Adjusted CNA Staffing Hours per Resident per Day
2.83968
Adjusted LPN Staffing Hours per Resident per Day
0.43568
Adjusted RN Staffing Hours per Resident per Day
0.99703
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44498
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-28
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
38.66700
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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