Neilson Place - Bemidji Nursing Home

General Information

UPDATE
Federal Provider Number
245039
Provider Name
NEILSON PLACE
Provider Address
1000 ANNE STREET NORTHWEST
BEMIDJI, MN 56601
Provider Phone Number
2187510220
Provider SSA County
30
Provider County Name
Beltrami
Ownership Type
Non profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SANFORD HEALTH OF NORTHERN MINNESOTA
Date First Approved to Provide Medicare and Medicaid services
1979-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49610
Reported LPN Staffing Hours per Resident per Day
1.16039
Reported RN Staffing Hours per Resident per Day
0.67143
Reported Licensed Staffing Hours per Resident per Day
1.83182
Reported Total Nurse Staffing Hours per Resident per Day
4.32792
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14156
Expected CNA Staffing Hours per Resident per Day
2.49429
Expected LPN Staffing Hours per Resident per Day
0.63953
Expected RN Staffing Hours per Resident per Day
1.01466
Expected Total Nurse Staffing Hours per Resident per Day
4.14848
Adjusted CNA Staffing Hours per Resident per Day
2.45548
Adjusted LPN Staffing Hours per Resident per Day
1.50599
Adjusted RN Staffing Hours per Resident per Day
0.49444
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20526
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
8
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-05-02
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
18.00000
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

Nursiong Homes Nearby

Havenwood Care Center

1633 Delton Avenue | BEMIDJI MN 56601 | 1.3 miles away

Good Samaritan Society - Blackduck

172 Summit Avenue West | BLACKDUCK MN 56630 | 22.3 miles away

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