North Dakota Nursing Homes >> Mcville Nursing Homes >> Nelson County Health System Care Center

Nelson County Health System Care Center - Mcville Nursing Home

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Federal Provider Number
355052
Provider Name
NELSON COUNTY HEALTH SYSTEM CARE CENTER
Provider Address
108 E NYHUS AVE
MCVILLE, ND 58254
Provider Phone Number
(701) 322-4314
Provider SSA County
310
Provider County Name
Nelson
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
39
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NELSON COUNTY HEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1980-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.63514
Reported LPN Staffing Hours per Resident per Day
0.65676
Reported RN Staffing Hours per Resident per Day
0.62838
Reported Licensed Staffing Hours per Resident per Day
1.28514
Reported Total Nurse Staffing Hours per Resident per Day
3.92028
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02568
Expected CNA Staffing Hours per Resident per Day
2.24219
Expected LPN Staffing Hours per Resident per Day
0.56540
Expected RN Staffing Hours per Resident per Day
0.76569
Expected Total Nurse Staffing Hours per Resident per Day
3.57328
Adjusted CNA Staffing Hours per Resident per Day
2.88372
Adjusted LPN Staffing Hours per Resident per Day
0.96412
Adjusted RN Staffing Hours per Resident per Day
0.61321
Adjusted Total Nurse Staffing Hours per Resident per Day
4.42234
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
20
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
35.33300
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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