Northridge Residence - Ortonville Nursing Home

General Information

UPDATE
Federal Provider Number
245451
Provider Name
NORTHRIDGE RESIDENCE
Provider Address
1075 ROY STREET
ORTONVILLE, MN 56278
Provider Phone Number
3208396113
Provider SSA County
50
Provider County Name
Big Stone
Ownership Type
Government - City
Number of Certified Beds
64
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ORTONVILLE AREA HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
2
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
3.07292
Reported LPN Staffing Hours per Resident per Day
0.50417
Reported RN Staffing Hours per Resident per Day
0.98125
Reported Licensed Staffing Hours per Resident per Day
1.48542
Reported Total Nurse Staffing Hours per Resident per Day
4.55834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03021
Expected CNA Staffing Hours per Resident per Day
2.19805
Expected LPN Staffing Hours per Resident per Day
0.54816
Expected RN Staffing Hours per Resident per Day
0.80000
Expected Total Nurse Staffing Hours per Resident per Day
3.54622
Adjusted CNA Staffing Hours per Resident per Day
3.43032
Adjusted LPN Staffing Hours per Resident per Day
0.76339
Adjusted RN Staffing Hours per Resident per Day
0.91648
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18135
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
17.33300
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

Nursiong Homes Nearby

Essentia Health Grace Home

116 West Second Street | GRACEVILLE MN 56240 | 16.5 miles away

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