Pioneer Memorial Care Center - Erskine Nursing Home

General Information

UPDATE
Federal Provider Number
245301
Provider Name
PIONEER MEMORIAL CARE CENTER
Provider Address
23028 - 347TH STREET SOUTHEAST
ERSKINE, MN 56535
Provider Phone Number
2186872365
Provider SSA County
590
Provider County Name
Polk
Ownership Type
Non profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PIONEER MEMORIAL CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1985-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.46864
Reported LPN Staffing Hours per Resident per Day
0.85593
Reported RN Staffing Hours per Resident per Day
0.79237
Reported Licensed Staffing Hours per Resident per Day
1.64831
Reported Total Nurse Staffing Hours per Resident per Day
4.11694
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01102
Expected CNA Staffing Hours per Resident per Day
2.46915
Expected LPN Staffing Hours per Resident per Day
0.57608
Expected RN Staffing Hours per Resident per Day
0.84217
Expected Total Nurse Staffing Hours per Resident per Day
3.88741
Adjusted CNA Staffing Hours per Resident per Day
2.45319
Adjusted LPN Staffing Hours per Resident per Day
1.23320
Adjusted RN Staffing Hours per Resident per Day
0.70301
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26891
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
2015-02-11
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
8
Cycle 2 Standard Health Survey Date
2014-01-10
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.00000
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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