Good Shepherd Lutheran Home - Rushford Nursing Home

General Information

UPDATE
Federal Provider Number
245393
Provider Name
GOOD SHEPHERD LUTHERAN HOME
Provider Address
800 HOME STREET, BOX 747
RUSHFORD, MN 55971
Provider Phone Number
5078647714
Provider SSA County
220
Provider County Name
Fillmore
Ownership Type
Non profit - Other
Number of Certified Beds
75
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD LUTHERAN HOME
Date First Approved to Provide Medicare and Medicaid services
1986-12-01
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
1.98836
Reported LPN Staffing Hours per Resident per Day
0.58493
Reported RN Staffing Hours per Resident per Day
0.62877
Reported Licensed Staffing Hours per Resident per Day
1.21370
Reported Total Nurse Staffing Hours per Resident per Day
3.20206
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04589
Expected CNA Staffing Hours per Resident per Day
2.24494
Expected LPN Staffing Hours per Resident per Day
0.52738
Expected RN Staffing Hours per Resident per Day
0.83692
Expected Total Nurse Staffing Hours per Resident per Day
3.60924
Adjusted CNA Staffing Hours per Resident per Day
2.17326
Adjusted LPN Staffing Hours per Resident per Day
0.92058
Adjusted RN Staffing Hours per Resident per Day
0.56137
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57615
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-11
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
32.66700
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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