Pierz Villa Inc - Pierz Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245286
Provider Name
PIERZ VILLA INC
Provider Address
119 FAUST STREET SOUTHEAST
PIERZ, MN 56364
PIERZ, MN 56364
Provider Phone Number
(320) 468-6405
Provider SSA County
480
Provider County Name
Morrison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PIERZ VILLA, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.41413
Reported LPN Staffing Hours per Resident per Day
0.96630
Reported RN Staffing Hours per Resident per Day
0.40978
Reported Licensed Staffing Hours per Resident per Day
1.37609
Reported Total Nurse Staffing Hours per Resident per Day
3.79021
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09891
Expected CNA Staffing Hours per Resident per Day
2.33120
Expected LPN Staffing Hours per Resident per Day
0.60649
Expected RN Staffing Hours per Resident per Day
0.90859
Expected Total Nurse Staffing Hours per Resident per Day
3.84627
Adjusted CNA Staffing Hours per Resident per Day
2.54099
Adjusted LPN Staffing Hours per Resident per Day
1.32242
Adjusted RN Staffing Hours per Resident per Day
0.33699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97215
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
2014-06-12
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
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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