Minnesota Nursing Homes >> Belle Plaine Nursing Homes >> Lutheran Home

Lutheran Home - Belle Plaine Nursing Home

General Information

UPDATE
Federal Provider Number
245590
Provider Name
LUTHERAN HOME
Provider Address
611 WEST MAIN STREET
BELLE PLAINE, MN 56011
Provider Phone Number
9528732100
Provider SSA County
690
Provider County Name
Scott
Ownership Type
Non profit - Church related
Number of Certified Beds
97
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE LUTHERAN HOME ASSOCIATION BELLE PLAINE, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.99731
Reported LPN Staffing Hours per Resident per Day
0.70860
Reported RN Staffing Hours per Resident per Day
1.02634
Reported Licensed Staffing Hours per Resident per Day
1.73495
Reported Total Nurse Staffing Hours per Resident per Day
4.73225
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08387
Expected CNA Staffing Hours per Resident per Day
2.57925
Expected LPN Staffing Hours per Resident per Day
0.58830
Expected RN Staffing Hours per Resident per Day
0.85010
Expected Total Nurse Staffing Hours per Resident per Day
4.01765
Adjusted CNA Staffing Hours per Resident per Day
2.85141
Adjusted LPN Staffing Hours per Resident per Day
0.99973
Adjusted RN Staffing Hours per Resident per Day
0.90211
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74786
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
0
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
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
2.00000
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

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