Luther Memorial Home - Madelia Nursing Home
General Information
UPDATEFederal Provider Number
245522
Provider Name
LUTHER MEMORIAL HOME
Provider Address
221 6TH STREET SOUTHWEST
MADELIA, MN 56062
MADELIA, MN 56062
Provider Phone Number
5076423271
Provider SSA County
820
Provider County Name
Watonwan
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHER MEMORIAL HOME
Date First Approved to Provide Medicare and Medicaid services
1987-11-01
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
5
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
2.14474
Reported LPN Staffing Hours per Resident per Day
0.66404
Reported RN Staffing Hours per Resident per Day
0.39912
Reported Licensed Staffing Hours per Resident per Day
1.06316
Reported Total Nurse Staffing Hours per Resident per Day
3.20790
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03860
Expected CNA Staffing Hours per Resident per Day
2.26102
Expected LPN Staffing Hours per Resident per Day
0.51125
Expected RN Staffing Hours per Resident per Day
0.76360
Expected Total Nurse Staffing Hours per Resident per Day
3.53587
Adjusted CNA Staffing Hours per Resident per Day
2.32751
Adjusted LPN Staffing Hours per Resident per Day
1.07804
Adjusted RN Staffing Hours per Resident per Day
0.39055
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65702
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
2015-02-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
103
Cycle 2 Standard Health Survey Date
2014-06-26
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
62.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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