Mapleton Community Home - Mapleton Nursing Home
General Information
UPDATEFederal Provider Number
245362
Provider Name
MAPLETON COMMUNITY HOME
Provider Address
301 TROENDLE STREET
MAPLETON, MN 56065
MAPLETON, MN 56065
Provider Phone Number
(507) 524-3315
Provider SSA County
60
Provider County Name
Blue Earth
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLETON COMMUNITY HOME
Date First Approved to Provide Medicare and Medicaid services
1986-12-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.84561
Reported LPN Staffing Hours per Resident per Day
0.11930
Reported RN Staffing Hours per Resident per Day
1.41053
Reported Licensed Staffing Hours per Resident per Day
1.52982
Reported Total Nurse Staffing Hours per Resident per Day
4.37544
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03158
Expected CNA Staffing Hours per Resident per Day
2.42461
Expected LPN Staffing Hours per Resident per Day
0.59584
Expected RN Staffing Hours per Resident per Day
0.94792
Expected Total Nurse Staffing Hours per Resident per Day
3.96837
Adjusted CNA Staffing Hours per Resident per Day
2.87975
Adjusted LPN Staffing Hours per Resident per Day
0.16618
Adjusted RN Staffing Hours per Resident per Day
1.11185
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44438
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-03
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
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
12
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
8
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
19.33300
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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