Mn Veterans Home Minneapolis - Minneapolis Nursing Home

General Information

UPDATE
Federal Provider Number
245620
Provider Name
MN VETERANS HOME MINNEAPOLIS
Provider Address
5101 MINNEHAHA AVENUE SOUTH
MINNEAPOLIS, MN 55417
Provider Phone Number
6125485705
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Government - State
Number of Certified Beds
100
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF MINNESOTA-MINNESOTA MANGEMENT AND BUDGET
Date First Approved to Provide Medicare and Medicaid services
2014-01-06
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.68050
Reported LPN Staffing Hours per Resident per Day
1.35150
Reported RN Staffing Hours per Resident per Day
0.92900
Reported Licensed Staffing Hours per Resident per Day
2.28050
Reported Total Nurse Staffing Hours per Resident per Day
5.96100
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04500
Expected CNA Staffing Hours per Resident per Day
2.69209
Expected LPN Staffing Hours per Resident per Day
0.52696
Expected RN Staffing Hours per Resident per Day
0.67867
Expected Total Nurse Staffing Hours per Resident per Day
3.89772
Adjusted CNA Staffing Hours per Resident per Day
3.35458
Adjusted LPN Staffing Hours per Resident per Day
2.12872
Adjusted RN Staffing Hours per Resident per Day
1.02281
Adjusted Total Nurse Staffing Hours per Resident per Day
6.16468
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-11
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
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
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
23.20000
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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