Janesville Nursing Home - Janesville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245440
Provider Name
JANESVILLE NURSING HOME
Provider Address
102 EAST NORTH STREET
JANESVILLE, MN 56048
JANESVILLE, MN 56048
Provider Phone Number
(507) 231-5113
Provider SSA County
800
Provider County Name
Waseca
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
40
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JANESVILLE NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.40405
Reported LPN Staffing Hours per Resident per Day
0.42432
Reported RN Staffing Hours per Resident per Day
0.53919
Reported Licensed Staffing Hours per Resident per Day
0.96351
Reported Total Nurse Staffing Hours per Resident per Day
3.36756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.33574
Expected LPN Staffing Hours per Resident per Day
0.52203
Expected RN Staffing Hours per Resident per Day
0.82895
Expected Total Nurse Staffing Hours per Resident per Day
3.68673
Adjusted CNA Staffing Hours per Resident per Day
2.52545
Adjusted LPN Staffing Hours per Resident per Day
0.67465
Adjusted RN Staffing Hours per Resident per Day
0.48601
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68194
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
0
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-11-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
2.66700
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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