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Estelline Nursing And Care Center - Estelline Nursing Home

General Information

UPDATE
Federal Provider Number
435099
Provider Name
ESTELLINE NURSING AND CARE CENTER
Provider Address
205 FJERESTAD AVENUE EAST POST OFFICE BOX 130
ESTELLINE, SD 57234
Provider Phone Number
6058732278
Provider SSA County
280
Provider County Name
Hamlin
Ownership Type
Government - City
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF ESTELLINE
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.30965
Reported LPN Staffing Hours per Resident per Day
0.37895
Reported RN Staffing Hours per Resident per Day
0.61053
Reported Licensed Staffing Hours per Resident per Day
0.98947
Reported Total Nurse Staffing Hours per Resident per Day
3.29913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07544
Expected CNA Staffing Hours per Resident per Day
2.36692
Expected LPN Staffing Hours per Resident per Day
0.57318
Expected RN Staffing Hours per Resident per Day
0.81134
Expected Total Nurse Staffing Hours per Resident per Day
3.75144
Adjusted CNA Staffing Hours per Resident per Day
2.39433
Adjusted LPN Staffing Hours per Resident per Day
0.54875
Adjusted RN Staffing Hours per Resident per Day
0.56226
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54489
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
16
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-28
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
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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