North Dakota Nursing Homes >> Northwood Nursing Homes >> Northwood Deaconess Health Cnt

Northwood Deaconess Health Cnt - Northwood Nursing Home

General Information

UPDATE
Federal Provider Number
355076
Provider Name
NORTHWOOD DEACONESS HEALTH CNT
Provider Address
4 N PARK ST
NORTHWOOD, ND 58267
Provider Phone Number
7015876060
Provider SSA County
170
Provider County Name
Grand Forks
Ownership Type
Non profit - Church related
Number of Certified Beds
56
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
NORTHWOOD DEACONESS HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
3.97841
Reported LPN Staffing Hours per Resident per Day
0.96818
Reported RN Staffing Hours per Resident per Day
0.82386
Reported Licensed Staffing Hours per Resident per Day
1.79205
Reported Total Nurse Staffing Hours per Resident per Day
5.77045
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10227
Expected CNA Staffing Hours per Resident per Day
2.29594
Expected LPN Staffing Hours per Resident per Day
0.54940
Expected RN Staffing Hours per Resident per Day
0.73399
Expected Total Nurse Staffing Hours per Resident per Day
3.57933
Adjusted CNA Staffing Hours per Resident per Day
4.25177
Adjusted LPN Staffing Hours per Resident per Day
1.46267
Adjusted RN Staffing Hours per Resident per Day
0.83869
Adjusted Total Nurse Staffing Hours per Resident per Day
6.49846
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-08
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
27.33300
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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