Elim Home - Milaca - Milaca Nursing Home
General Information
UPDATEFederal Provider Number
245422
Provider Name
ELIM HOME - MILACA
Provider Address
730 SECOND STREET SOUTHEAST, PO BOX 157
MILACA, MN 56353
MILACA, MN 56353
Provider Phone Number
3209832185
Provider SSA County
470
Provider County Name
Mille Lacs
Ownership Type
Non profit - Church related
Number of Certified Beds
86
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELIM HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67297
Reported LPN Staffing Hours per Resident per Day
0.54932
Reported RN Staffing Hours per Resident per Day
0.75743
Reported Licensed Staffing Hours per Resident per Day
1.30676
Reported Total Nurse Staffing Hours per Resident per Day
3.97972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04662
Expected CNA Staffing Hours per Resident per Day
2.51501
Expected LPN Staffing Hours per Resident per Day
0.62517
Expected RN Staffing Hours per Resident per Day
0.96384
Expected Total Nurse Staffing Hours per Resident per Day
4.10402
Adjusted CNA Staffing Hours per Resident per Day
2.60780
Adjusted LPN Staffing Hours per Resident per Day
0.72929
Adjusted RN Staffing Hours per Resident per Day
0.58719
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90881
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-21
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
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
Nursiong Homes Nearby
Elim Home
701 First Street |
PRINCETON MN 55371 | 13.1 miles away
Mille Lacs Health System
200 North Elm Street |
ONAMIA MN 56359 | 22 miles away
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