North Dakota Nursing Homes >> Lisbon Nursing Homes >> Parkside Lutheran Home

Parkside Lutheran Home - Lisbon Nursing Home

General Information

UPDATE
Federal Provider Number
355116
Provider Name
PARKSIDE LUTHERAN HOME
Provider Address
501 3RD AVE W
LISBON, ND 58054
Provider Phone Number
7016835239
Provider SSA County
360
Provider County Name
Ransom
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARKSIDE HOME
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.77750
Reported LPN Staffing Hours per Resident per Day
0.80875
Reported RN Staffing Hours per Resident per Day
0.63125
Reported Licensed Staffing Hours per Resident per Day
1.44000
Reported Total Nurse Staffing Hours per Resident per Day
5.21750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01750
Expected CNA Staffing Hours per Resident per Day
2.31114
Expected LPN Staffing Hours per Resident per Day
0.62861
Expected RN Staffing Hours per Resident per Day
0.90172
Expected Total Nurse Staffing Hours per Resident per Day
3.84146
Adjusted CNA Staffing Hours per Resident per Day
4.01051
Adjusted LPN Staffing Hours per Resident per Day
1.06786
Adjusted RN Staffing Hours per Resident per Day
0.52308
Adjusted Total Nurse Staffing Hours per Resident per Day
5.47479
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-04-24
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-24
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
36.00000
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

North Dakota Veterans Home

1600 Veterans Drive | LISBON ND 58054 | 0.4 mile away

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110 Hillcrest Dr | ENDERLIN ND 58027 | 13.4 miles away

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