Martin Luther Care Center - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
245272
Provider Name
MARTIN LUTHER CARE CENTER
Provider Address
1401 EAST 100TH STREET
BLOOMINGTON, MN 55425
BLOOMINGTON, MN 55425
Provider Phone Number
(952) 888-7751
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
137
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARTIN LM LLC
Date First Approved to Provide Medicare and Medicaid services
1985-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.27047
Reported LPN Staffing Hours per Resident per Day
0.76260
Reported RN Staffing Hours per Resident per Day
1.31378
Reported Licensed Staffing Hours per Resident per Day
2.07638
Reported Total Nurse Staffing Hours per Resident per Day
4.34685
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14173
Expected CNA Staffing Hours per Resident per Day
2.73397
Expected LPN Staffing Hours per Resident per Day
0.65528
Expected RN Staffing Hours per Resident per Day
1.04895
Expected Total Nurse Staffing Hours per Resident per Day
4.43820
Adjusted CNA Staffing Hours per Resident per Day
2.03772
Adjusted LPN Staffing Hours per Resident per Day
0.96593
Adjusted RN Staffing Hours per Resident per Day
0.93585
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94794
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
2013-03-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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