Lyngblomsten Care Center - Saint Paul Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245347
Provider Name
LYNGBLOMSTEN CARE CENTER
Provider Address
1415 ALMOND AVENUE
SAINT PAUL, MN 55108
SAINT PAUL, MN 55108
Provider Phone Number
(651) 646-2941
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
237
Number of Residents in Certified Beds
221
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LYNGBLOMSTEN CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1986-09-01
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
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
3.08688
Reported LPN Staffing Hours per Resident per Day
0.62557
Reported RN Staffing Hours per Resident per Day
0.73416
Reported Licensed Staffing Hours per Resident per Day
1.35973
Reported Total Nurse Staffing Hours per Resident per Day
4.44661
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02692
Expected CNA Staffing Hours per Resident per Day
2.49010
Expected LPN Staffing Hours per Resident per Day
0.58051
Expected RN Staffing Hours per Resident per Day
0.88982
Expected Total Nurse Staffing Hours per Resident per Day
3.96043
Adjusted CNA Staffing Hours per Resident per Day
3.04175
Adjusted LPN Staffing Hours per Resident per Day
0.89443
Adjusted RN Staffing Hours per Resident per Day
0.61649
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52573
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
36
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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