Park Health And Rehabilitation Center - Saint Louis Park Nursing Home
General Information
UPDATEFederal Provider Number
245083
Provider Name
PARK HEALTH AND REHABILITATION CENTER
Provider Address
4415 WEST 36 1/2 STREET
SAINT LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
Provider Phone Number
(952) 927-9717
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.15397
Reported LPN Staffing Hours per Resident per Day
0.65714
Reported RN Staffing Hours per Resident per Day
1.20000
Reported Licensed Staffing Hours per Resident per Day
1.85714
Reported Total Nurse Staffing Hours per Resident per Day
4.01111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11429
Expected CNA Staffing Hours per Resident per Day
2.48666
Expected LPN Staffing Hours per Resident per Day
0.71087
Expected RN Staffing Hours per Resident per Day
1.34105
Expected Total Nurse Staffing Hours per Resident per Day
4.53858
Adjusted CNA Staffing Hours per Resident per Day
2.12542
Adjusted LPN Staffing Hours per Resident per Day
0.76726
Adjusted RN Staffing Hours per Resident per Day
0.66861
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56243
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
32
Cycle 1 Standard Survey Health Date
2014-02-13
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
20
Cycle 3 Standard Health Survey Date
2011-11-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
20.66700
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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