Good Shepherd Lutheran Home - Sauk Rapids Nursing Home

General Information

UPDATE
Federal Provider Number
245269
Provider Name
GOOD SHEPHERD LUTHERAN HOME
Provider Address
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379
Provider Phone Number
3202526525
Provider SSA County
40
Provider County Name
Benton
Ownership Type
Non profit - Church related
Number of Certified Beds
162
Number of Residents in Certified Beds
158
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS MINNESOTA
Date First Approved to Provide Medicare and Medicaid services
1984-07-01
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
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
2.27753
Reported LPN Staffing Hours per Resident per Day
0.95759
Reported RN Staffing Hours per Resident per Day
0.74146
Reported Licensed Staffing Hours per Resident per Day
1.69905
Reported Total Nurse Staffing Hours per Resident per Day
3.97658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.58282
Expected LPN Staffing Hours per Resident per Day
0.60313
Expected RN Staffing Hours per Resident per Day
0.87287
Expected Total Nurse Staffing Hours per Resident per Day
4.05882
Adjusted CNA Staffing Hours per Resident per Day
2.16367
Adjusted LPN Staffing Hours per Resident per Day
1.31780
Adjusted RN Staffing Hours per Resident per Day
0.63471
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94922
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-04-09
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
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-07-17
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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

Foley Nursing Center

253 Pine Street | FOLEY MN 56329 | 13.3 miles away

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