Maplewood Care Center - Maplewood Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245276
Provider Name
MAPLEWOOD CARE CENTER
Provider Address
1900 SHERREN AVENUE
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
Provider Phone Number
(651) 770-1365
Provider SSA County
610
Provider County Name
Ramsey
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
128
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VOA CARE CENTERS, MINNESOTA
Date First Approved to Provide Medicare and Medicaid services
1985-05-01
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.03633
Reported LPN Staffing Hours per Resident per Day
0.68320
Reported RN Staffing Hours per Resident per Day
0.73242
Reported Licensed Staffing Hours per Resident per Day
1.41563
Reported Total Nurse Staffing Hours per Resident per Day
3.45195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09570
Expected CNA Staffing Hours per Resident per Day
2.41574
Expected LPN Staffing Hours per Resident per Day
0.67514
Expected RN Staffing Hours per Resident per Day
1.10207
Expected Total Nurse Staffing Hours per Resident per Day
4.19295
Adjusted CNA Staffing Hours per Resident per Day
2.06833
Adjusted LPN Staffing Hours per Resident per Day
0.83991
Adjusted RN Staffing Hours per Resident per Day
0.49658
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31854
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-11-21
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
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
2013-01-16
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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