Koda Living Community - Owatonna Nursing Home
General Information
UPDATEFederal Provider Number
245426
Provider Name
KODA LIVING COMMUNITY
Provider Address
2255 30TH STREET NW
OWATONNA, MN 55060
OWATONNA, MN 55060
Provider Phone Number
5074444200
Provider SSA County
730
Provider County Name
Steele
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STEELE COUNTY COMMUNITIES FOR A LIFETIME, INC.
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
Both
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.92391
Reported LPN Staffing Hours per Resident per Day
0.71377
Reported RN Staffing Hours per Resident per Day
1.25725
Reported Licensed Staffing Hours per Resident per Day
1.97101
Reported Total Nurse Staffing Hours per Resident per Day
4.89493
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06304
Expected CNA Staffing Hours per Resident per Day
2.72340
Expected LPN Staffing Hours per Resident per Day
0.64734
Expected RN Staffing Hours per Resident per Day
1.09722
Expected Total Nurse Staffing Hours per Resident per Day
4.46796
Adjusted CNA Staffing Hours per Resident per Day
2.63436
Adjusted LPN Staffing Hours per Resident per Day
0.91518
Adjusted RN Staffing Hours per Resident per Day
0.85618
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41611
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
46
Cycle 1 Total Health Score
138
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-01-31
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
96.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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
Owatonna Care Center
201 Southwest 18th Street |
OWATONNA MN 55060 | 3.5 miles away
Prairie Manor Care Center
220 Third Street Northwest |
BLOOMING PRAIRIE MN 55917 | 19.4 miles away
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