Karlstad Healthcare Center Inc - Karlstad Nursing Home
General Information
UPDATEFederal Provider Number
245468
Provider Name
KARLSTAD HEALTHCARE CENTER INC
Provider Address
304 WASHINGTON AVENUE WEST
KARLSTAD, MN 56732
KARLSTAD, MN 56732
Provider Phone Number
2184363561
Provider SSA County
340
Provider County Name
Kittson
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KARLSTAD HEALTHCARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07424
Reported LPN Staffing Hours per Resident per Day
0.98485
Reported RN Staffing Hours per Resident per Day
1.21061
Reported Licensed Staffing Hours per Resident per Day
2.19545
Reported Total Nurse Staffing Hours per Resident per Day
4.26970
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03182
Expected CNA Staffing Hours per Resident per Day
2.64073
Expected LPN Staffing Hours per Resident per Day
0.67782
Expected RN Staffing Hours per Resident per Day
1.02375
Expected Total Nurse Staffing Hours per Resident per Day
4.34230
Adjusted CNA Staffing Hours per Resident per Day
1.92733
Adjusted LPN Staffing Hours per Resident per Day
1.20596
Adjusted RN Staffing Hours per Resident per Day
0.88359
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96351
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-27
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
87
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
87
Total Weighted Health Survey Score
43.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Kittson Memorial Healthcare Center
1010 South Birch |
HALLOCK MN 56728 | 23.3 miles away
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