Maple Manor Nursing And Rehab, Llc - Rochester Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245409
Provider Name
MAPLE MANOR NURSING AND REHAB, LLC
Provider Address
1875 19TH STREET NORTHWEST
ROCHESTER, MN 55901
ROCHESTER, MN 55901
Provider Phone Number
(507) 282-9449
Provider SSA County
540
Provider County Name
Olmsted
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1987-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.56029
Reported LPN Staffing Hours per Resident per Day
0.72574
Reported RN Staffing Hours per Resident per Day
0.62941
Reported Licensed Staffing Hours per Resident per Day
1.35515
Reported Total Nurse Staffing Hours per Resident per Day
3.91544
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07574
Expected CNA Staffing Hours per Resident per Day
2.57579
Expected LPN Staffing Hours per Resident per Day
0.60901
Expected RN Staffing Hours per Resident per Day
0.95569
Expected Total Nurse Staffing Hours per Resident per Day
4.14050
Adjusted CNA Staffing Hours per Resident per Day
2.43893
Adjusted LPN Staffing Hours per Resident per Day
0.98909
Adjusted RN Staffing Hours per Resident per Day
0.49210
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81180
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
160
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
80
Cycle 1 Total Health Score
240
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
160.00000
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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