Luther Memorial Home - Mayville Nursing Home

General Information

UPDATE
Federal Provider Number
355040
Provider Name
LUTHER MEMORIAL HOME
Provider Address
750 MAIN ST E
MAYVILLE, ND 58257
Provider Phone Number
7017863401
Provider SSA County
480
Provider County Name
Traill
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
98
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
1978-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.28010
Reported LPN Staffing Hours per Resident per Day
0.39337
Reported RN Staffing Hours per Resident per Day
0.60510
Reported Licensed Staffing Hours per Resident per Day
0.99847
Reported Total Nurse Staffing Hours per Resident per Day
4.27857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00306
Expected CNA Staffing Hours per Resident per Day
2.32670
Expected LPN Staffing Hours per Resident per Day
0.54912
Expected RN Staffing Hours per Resident per Day
0.72757
Expected Total Nurse Staffing Hours per Resident per Day
3.60339
Adjusted CNA Staffing Hours per Resident per Day
3.45914
Adjusted LPN Staffing Hours per Resident per Day
0.59458
Adjusted RN Staffing Hours per Resident per Day
0.62143
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78619
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
4
Cycle 2 Standard Health Survey Date
2013-07-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.00000
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

Hatton Prairie Village

950 Dakota Ave | HATTON ND 58240 | 11.4 miles away

Sanford Hillsboro Care Center

12 3rd St Se | HILLSBORO ND 58045 | 13.9 miles away

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