Eventide Lutheran Home - Moorhead Nursing Home
General Information
UPDATEFederal Provider Number
245461
Provider Name
EVENTIDE LUTHERAN HOME
Provider Address
1405 7TH STREET SOUTH
MOORHEAD, MN 56560
MOORHEAD, MN 56560
Provider Phone Number
2182912285
Provider SSA County
130
Provider County Name
Clay
Ownership Type
Non profit - Corporation
Number of Certified Beds
195
Number of Residents in Certified Beds
187
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVENTIDE
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63396
Reported LPN Staffing Hours per Resident per Day
0.58021
Reported RN Staffing Hours per Resident per Day
0.61979
Reported Licensed Staffing Hours per Resident per Day
1.20000
Reported Total Nurse Staffing Hours per Resident per Day
3.83396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05802
Expected CNA Staffing Hours per Resident per Day
2.55435
Expected LPN Staffing Hours per Resident per Day
0.61191
Expected RN Staffing Hours per Resident per Day
0.94689
Expected Total Nurse Staffing Hours per Resident per Day
4.11315
Adjusted CNA Staffing Hours per Resident per Day
2.53017
Adjusted LPN Staffing Hours per Resident per Day
0.78700
Adjusted RN Staffing Hours per Resident per Day
0.48908
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75729
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-28
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
27.33300
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
Nursiong Homes Nearby
Golden Livingcenter - Moorhead
2810 North 2nd Avenue |
MOORHEAD MN 56560 | 2 miles away
Clayco Care Center
600 Fifth Street Southeast, Box 129 |
BARNESVILLE MN 56514 | 21.9 miles away
Viking Manor Nursing Home
317 First Street Northwest |
ULEN MN 56585 | 28.6 miles away
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