Maranatha Care Center - Brooklyn Center Nursing Home

General Information

UPDATE
Federal Provider Number
245462
Provider Name
MARANATHA CARE CENTER
Provider Address
5409 69TH AVENUE NORTH
BROOKLYN CENTER, MN 55429
Provider Phone Number
7635499600
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
89
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
1987-04-01
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
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
3.13708
Reported LPN Staffing Hours per Resident per Day
0.51348
Reported RN Staffing Hours per Resident per Day
1.39944
Reported Licensed Staffing Hours per Resident per Day
1.91292
Reported Total Nurse Staffing Hours per Resident per Day
5.05000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14213
Expected CNA Staffing Hours per Resident per Day
2.54367
Expected LPN Staffing Hours per Resident per Day
0.60259
Expected RN Staffing Hours per Resident per Day
0.94443
Expected Total Nurse Staffing Hours per Resident per Day
4.09068
Adjusted CNA Staffing Hours per Resident per Day
3.02612
Adjusted LPN Staffing Hours per Resident per Day
0.70727
Adjusted RN Staffing Hours per Resident per Day
1.10719
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97620
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
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
60
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
56.66700
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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