Gables Of Boutwells Landing - Oak Park Heights Nursing Home
General Information
UPDATEFederal Provider Number
245615
Provider Name
GABLES OF BOUTWELLS LANDING
Provider Address
13575 58TH STREET
OAK PARK HEIGHTS, MN 55082
OAK PARK HEIGHTS, MN 55082
Provider Phone Number
(651) 430-7200
Provider SSA County
810
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2009-03-04
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.02067
Reported LPN Staffing Hours per Resident per Day
0.24519
Reported RN Staffing Hours per Resident per Day
0.98269
Reported Licensed Staffing Hours per Resident per Day
1.22788
Reported Total Nurse Staffing Hours per Resident per Day
4.24855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31779
Expected CNA Staffing Hours per Resident per Day
2.48146
Expected LPN Staffing Hours per Resident per Day
0.58927
Expected RN Staffing Hours per Resident per Day
0.92733
Expected Total Nurse Staffing Hours per Resident per Day
3.99806
Adjusted CNA Staffing Hours per Resident per Day
2.98688
Adjusted LPN Staffing Hours per Resident per Day
0.34536
Adjusted RN Staffing Hours per Resident per Day
0.79181
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28345
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
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
16
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
12
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
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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