Parkview Manor Nursing Home - Ellsworth Nursing Home

General Information

UPDATE
Federal Provider Number
245553
Provider Name
PARKVIEW MANOR NURSING HOME
Provider Address
308 SHERMAN AVENUE
ELLSWORTH, MN 56129
Provider Phone Number
5079672482
Provider SSA County
520
Provider County Name
Nobles
Ownership Type
Government - City
Number of Certified Beds
37
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARKVIEW MANOR NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1991-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92031
Reported LPN Staffing Hours per Resident per Day
0.67031
Reported RN Staffing Hours per Resident per Day
0.31719
Reported Licensed Staffing Hours per Resident per Day
0.98750
Reported Total Nurse Staffing Hours per Resident per Day
2.90781
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.41449
Expected LPN Staffing Hours per Resident per Day
0.52547
Expected RN Staffing Hours per Resident per Day
0.74152
Expected Total Nurse Staffing Hours per Resident per Day
3.68148
Adjusted CNA Staffing Hours per Resident per Day
1.95149
Adjusted LPN Staffing Hours per Resident per Day
1.05878
Adjusted RN Staffing Hours per Resident per Day
0.31962
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18379
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-07
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
20
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
14.00000
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

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