Menno-olivet Care Center - Menno Nursing Home

General Information

UPDATE
Federal Provider Number
435113
Provider Name
MENNO-OLIVET CARE CENTER
Provider Address
402 S PINE STREET POST OFFICE BOX 487
MENNO, SD 57045
Provider Phone Number
6053875139
Provider SSA County
330
Provider County Name
Hutchinson
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MENNO-OLIVET RETIREMENT HOME INC
Date First Approved to Provide Medicare and Medicaid services
1998-04-01
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
2.83690
Reported LPN Staffing Hours per Resident per Day
0.17024
Reported RN Staffing Hours per Resident per Day
0.70833
Reported Licensed Staffing Hours per Resident per Day
0.87857
Reported Total Nurse Staffing Hours per Resident per Day
3.71547
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02262
Expected CNA Staffing Hours per Resident per Day
2.40768
Expected LPN Staffing Hours per Resident per Day
0.54039
Expected RN Staffing Hours per Resident per Day
0.67083
Expected Total Nurse Staffing Hours per Resident per Day
3.61890
Adjusted CNA Staffing Hours per Resident per Day
2.89113
Adjusted LPN Staffing Hours per Resident per Day
0.26147
Adjusted RN Staffing Hours per Resident per Day
0.78897
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13846
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
52
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-19
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
37.33300
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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