Interlude - Plymouth Nursing Home
General Information
UPDATEFederal Provider Number
245624
Provider Name
INTERLUDE
Provider Address
2775 CAMPUS DRIVE NORTH
PLYMOUTH, MN 55441
PLYMOUTH, MN 55441
Provider Phone Number
6516316414
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
8
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHS WESTHEALTH INC
Date First Approved to Provide Medicare and Medicaid services
2015-04-08
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
0
Overall Rating Footnote
Too New to Rate
Health Inspection Rating
0
Health Inspection Rating Footnote
Too New to Rate
QM Rating
0
QM Rating Footnote
Too New to Rate
Staffing Rating
0
Staffing Rating Footnote
Too New to Rate
RN Staffing Rating
0
RN Staffing Rating Footnote
Too New to Rate
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
0.00000
Expected LPN Staffing Hours per Resident per Day
0.00000
Expected RN Staffing Hours per Resident per Day
0.00000
Expected Total Nurse Staffing Hours per Resident per Day
0.00000
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
-0001-11-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
-0001-11-30
Cycle 2 Number of Health Revisits
0
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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
Nursiong Homes Nearby
Mission Nursing Home
3401 East Medicine Lake Boulevard |
PLYMOUTH MN 55441 | 1.4 miles away
Golden Livingcenter - Hillcrest Of Wayzata
15409 Wayzata Boulevard |
WAYZATA MN 55391 | 3.1 miles away
Good Samaritan Society - Ambassador
8100 Medicine Lake Road |
NEW HOPE MN 55427 | 3.2 miles away
Golden Valley Rehabilitation And Care Center
7505 Country Club Drive |
GOLDEN VALLEY MN 55427 | 4 miles away
Folkestone
100 Promenade Avenue |
WAYZATA MN 55391 | 4 miles away
North Ridge Health And Rehab
5430 Boone Avenue North |
NEW HOPE MN 55428 | 4.1 miles away
St Therese Home
8000 Bass Lake Road |
NEW HOPE MN 55428 | 4.6 miles away
Colonial Acres Health Care Ctr
5825 St Croix Avenue |
GOLDEN VALLEY MN 55422 | 4.7 miles away
Crystal Care Center
3245 Vera Cruz Avenue North |
CRYSTAL MN 55422 | 4.8 miles away
Good Samaritan Society - Specialty Care Community
3815 West Broadway |
ROBBINSDALE MN 55422 | 5.8 miles away
Robbinsdale Rehab & Care Center
3130 Grimes Avenue North |
ROBBINSDALE MN 55422 | 5.8 miles away
Augustana Chapel View Care Center
615 Minnetonka Mills Road |
HOPKINS MN 55343 | 5.8 miles away
Courage Kenny Rehabilitation Institute's Trp
3915 Golden Valley Road |
GOLDEN VALLEY MN 55422 | 5.9 miles away
Maranatha Care Center
5409 69th Avenue North |
BROOKLYN CENTER MN 55429 | 6.8 miles away
Jones Harrison Residence
3700 Cedar Lake Avenue |
MINNEAPOLIS MN 55416 | 7.1 miles away
Reviews: Be the first to review this provider.
Share your experience with Interlude. You can help others by writing a review.
