Mount Olivet Careview Home - Minneapolis Nursing Home
General Information
UPDATEFederal Provider Number
245071
Provider Name
MOUNT OLIVET CAREVIEW HOME
Provider Address
5517 LYNDALE AVENUE SOUTH
MINNEAPOLIS, MN 55419
MINNEAPOLIS, MN 55419
Provider Phone Number
(612) 827-5677
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
153
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOUNT OLIVET CAREVIEW HOME
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63931
Reported LPN Staffing Hours per Resident per Day
0.90207
Reported RN Staffing Hours per Resident per Day
0.80207
Reported Licensed Staffing Hours per Resident per Day
1.70414
Reported Total Nurse Staffing Hours per Resident per Day
4.34345
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04862
Expected CNA Staffing Hours per Resident per Day
2.67663
Expected LPN Staffing Hours per Resident per Day
0.60855
Expected RN Staffing Hours per Resident per Day
0.89747
Expected Total Nurse Staffing Hours per Resident per Day
4.18265
Adjusted CNA Staffing Hours per Resident per Day
2.41949
Adjusted LPN Staffing Hours per Resident per Day
1.23033
Adjusted RN Staffing Hours per Resident per Day
0.66778
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18587
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
24
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
20.00000
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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