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Meadow Manor - Grand Meadow Nursing Home

General Information

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Federal Provider Number
245367
Provider Name
MEADOW MANOR
Provider Address
210 EAST GRAND AVENUE, PO BOX 365
GRAND MEADOW, MN 55936
Provider Phone Number
(507) 754-5212
Provider SSA County
490
Provider County Name
Mower
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND MEADOW HEALTHCARE CENTER, INC
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.66324
Reported LPN Staffing Hours per Resident per Day
0.77794
Reported RN Staffing Hours per Resident per Day
0.90441
Reported Licensed Staffing Hours per Resident per Day
1.68235
Reported Total Nurse Staffing Hours per Resident per Day
5.34559
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.41222
Expected LPN Staffing Hours per Resident per Day
0.62765
Expected RN Staffing Hours per Resident per Day
0.93655
Expected Total Nurse Staffing Hours per Resident per Day
3.97643
Adjusted CNA Staffing Hours per Resident per Day
3.72623
Adjusted LPN Staffing Hours per Resident per Day
1.02874
Adjusted RN Staffing Hours per Resident per Day
0.72156
Adjusted Total Nurse Staffing Hours per Resident per Day
5.41882
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
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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