Essentia Health - Sandstone Medical Center - Sandstone Nursing Home

General Information

UPDATE
Federal Provider Number
245454
Provider Name
ESSENTIA HEALTH - SANDSTONE MEDICAL CENTER
Provider Address
109 COURT AVENUE SOUTH
SANDSTONE, MN 55072
Provider Phone Number
3202452224
Provider SSA County
570
Provider County Name
Pine
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
Y
Legal Business Name
PINE MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
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
2.52317
Reported LPN Staffing Hours per Resident per Day
1.24024
Reported RN Staffing Hours per Resident per Day
0.73780
Reported Licensed Staffing Hours per Resident per Day
1.97805
Reported Total Nurse Staffing Hours per Resident per Day
4.50121
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27927
Expected CNA Staffing Hours per Resident per Day
2.49426
Expected LPN Staffing Hours per Resident per Day
0.65156
Expected RN Staffing Hours per Resident per Day
0.89565
Expected Total Nurse Staffing Hours per Resident per Day
4.04147
Adjusted CNA Staffing Hours per Resident per Day
2.48214
Adjusted LPN Staffing Hours per Resident per Day
1.57989
Adjusted RN Staffing Hours per Resident per Day
0.61552
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48944
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-11
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-27
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
30
Cycle 3 Total Health Score
90
Total Weighted Health Survey Score
39.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Lakeside Medical Center

129 East 6th Avenue | PINE CITY MN 55063 | 21.5 miles away

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