Emmanuel Home - Litchfield Nursing Home

General Information

UPDATE
Federal Provider Number
245361
Provider Name
EMMANUEL HOME
Provider Address
600 SOUTH DAVIS AVENUE
LITCHFIELD, MN 55355
Provider Phone Number
3206932472
Provider SSA County
460
Provider County Name
Meeker
Ownership Type
Non profit - Church related
Number of Certified Beds
90
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ECUMEN
Date First Approved to Provide Medicare and Medicaid services
1986-10-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.50235
Reported LPN Staffing Hours per Resident per Day
0.64176
Reported RN Staffing Hours per Resident per Day
0.75647
Reported Licensed Staffing Hours per Resident per Day
1.39824
Reported Total Nurse Staffing Hours per Resident per Day
3.90058
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04294
Expected CNA Staffing Hours per Resident per Day
2.71109
Expected LPN Staffing Hours per Resident per Day
0.67584
Expected RN Staffing Hours per Resident per Day
0.96285
Expected Total Nurse Staffing Hours per Resident per Day
4.34978
Adjusted CNA Staffing Hours per Resident per Day
2.26478
Adjusted LPN Staffing Hours per Resident per Day
0.78815
Adjusted RN Staffing Hours per Resident per Day
0.58704
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61463
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
32
Cycle 2 Standard Health Survey Date
2013-09-05
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
25.33300
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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