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Littlefork Medical Center - Littlefork Nursing Home

General Information

UPDATE
Federal Provider Number
245542
Provider Name
LITTLEFORK MEDICAL CENTER
Provider Address
BOX N, 900 MAIN STREET
LITTLEFORK, MN 56653
Provider Phone Number
2182786634
Provider SSA County
350
Provider County Name
Koochiching
Ownership Type
Government - City
Number of Certified Beds
50
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LITTLEFORK MUNICIPAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1991-04-24
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
3
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
1.98830
Reported LPN Staffing Hours per Resident per Day
1.14149
Reported RN Staffing Hours per Resident per Day
0.55106
Reported Licensed Staffing Hours per Resident per Day
1.69255
Reported Total Nurse Staffing Hours per Resident per Day
3.68085
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12447
Expected CNA Staffing Hours per Resident per Day
2.22103
Expected LPN Staffing Hours per Resident per Day
0.50904
Expected RN Staffing Hours per Resident per Day
0.66574
Expected Total Nurse Staffing Hours per Resident per Day
3.39582
Adjusted CNA Staffing Hours per Resident per Day
2.19659
Adjusted LPN Staffing Hours per Resident per Day
1.86121
Adjusted RN Staffing Hours per Resident per Day
0.61848
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36924
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-29
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
36.66700
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

Nursiong Homes Nearby

Good Samaritan Society - International Falls

2201 Keenan Drive | INTERNATIONAL FALLS MN 56649 | 14 miles away

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