Minnesota Nursing Homes >> Perham Nursing Homes >> Perham Living

Perham Living - Perham Nursing Home

General Information

UPDATE
Federal Provider Number
245486
Provider Name
PERHAM LIVING
Provider Address
735 THIRD STREET SOUTHWEST
PERHAM, MN 56573
Provider Phone Number
2183464500
Provider SSA County
550
Provider County Name
Otter Tail
Ownership Type
Government - Hospital district
Number of Certified Beds
96
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PERHAM HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1987-07-01
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
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
2.94560
Reported LPN Staffing Hours per Resident per Day
0.93022
Reported RN Staffing Hours per Resident per Day
0.64341
Reported Licensed Staffing Hours per Resident per Day
1.57363
Reported Total Nurse Staffing Hours per Resident per Day
4.51923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04890
Expected CNA Staffing Hours per Resident per Day
2.43083
Expected LPN Staffing Hours per Resident per Day
0.64159
Expected RN Staffing Hours per Resident per Day
0.92544
Expected Total Nurse Staffing Hours per Resident per Day
3.99786
Adjusted CNA Staffing Hours per Resident per Day
2.97331
Adjusted LPN Staffing Hours per Resident per Day
1.20340
Adjusted RN Staffing Hours per Resident per Day
0.51949
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55658
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
4
Cycle 2 Standard Health Survey Date
2013-05-22
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
16.66700
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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