Jourdain Perpich Ext Care Fac - Redlake Nursing Home

General Information

UPDATE
Federal Provider Number
245535
Provider Name
JOURDAIN PERPICH EXT CARE FAC
Provider Address
24856 HOSPITAL DRIVE
REDLAKE, MN 56671
Provider Phone Number
2186793400
Provider SSA County
30
Provider County Name
Beltrami
Ownership Type
Non profit - Other
Number of Certified Beds
47
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOURDAIN/PERPICH EXTENDED CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1991-12-30
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.24302
Reported LPN Staffing Hours per Resident per Day
0.86860
Reported RN Staffing Hours per Resident per Day
0.67907
Reported Licensed Staffing Hours per Resident per Day
1.54767
Reported Total Nurse Staffing Hours per Resident per Day
4.79069
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19196
Expected LPN Staffing Hours per Resident per Day
0.65048
Expected RN Staffing Hours per Resident per Day
0.90002
Expected Total Nurse Staffing Hours per Resident per Day
3.74246
Adjusted CNA Staffing Hours per Resident per Day
3.63027
Adjusted LPN Staffing Hours per Resident per Day
1.10831
Adjusted RN Staffing Hours per Resident per Day
0.56377
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15992
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
252
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
3
Cycle 1 Health Revisit Score
176
Cycle 1 Total Health Score
428
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-03-29
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
17
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
264.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
17680
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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