Park River Estates Care Center - Coon Rapids Nursing Home

General Information

UPDATE
Federal Provider Number
245448
Provider Name
PARK RIVER ESTATES CARE CENTER
Provider Address
9899 AVOCET STREET NORTHWEST
COON RAPIDS, MN 55433
Provider Phone Number
7637572320
Provider SSA County
10
Provider County Name
Anoka
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH CITIES HEALTH CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1987-03-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.78034
Reported LPN Staffing Hours per Resident per Day
0.50787
Reported RN Staffing Hours per Resident per Day
0.91798
Reported Licensed Staffing Hours per Resident per Day
1.42584
Reported Total Nurse Staffing Hours per Resident per Day
4.20619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05787
Expected CNA Staffing Hours per Resident per Day
2.49284
Expected LPN Staffing Hours per Resident per Day
0.61467
Expected RN Staffing Hours per Resident per Day
0.95001
Expected Total Nurse Staffing Hours per Resident per Day
4.05751
Adjusted CNA Staffing Hours per Resident per Day
2.73669
Adjusted LPN Staffing Hours per Resident per Day
0.68579
Adjusted RN Staffing Hours per Resident per Day
0.72201
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17860
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-09
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
17
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5038
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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