Pioneer Memorial Nursing Home - Viborg Nursing Home

General Information

UPDATE
Federal Provider Number
435120
Provider Name
PIONEER MEMORIAL NURSING HOME
Provider Address
315 NORTH WASHINGTON ST POST OFFICE BOX 368
VIBORG, SD 57070
Provider Phone Number
6053265161
Provider SSA County
620
Provider County Name
Turner
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
2004-04-01
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66122
Reported LPN Staffing Hours per Resident per Day
0.21531
Reported RN Staffing Hours per Resident per Day
0.82857
Reported Licensed Staffing Hours per Resident per Day
1.04388
Reported Total Nurse Staffing Hours per Resident per Day
3.70510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12653
Expected CNA Staffing Hours per Resident per Day
2.40349
Expected LPN Staffing Hours per Resident per Day
0.56318
Expected RN Staffing Hours per Resident per Day
0.69881
Expected Total Nurse Staffing Hours per Resident per Day
3.66548
Adjusted CNA Staffing Hours per Resident per Day
2.71681
Adjusted LPN Staffing Hours per Resident per Day
0.31732
Adjusted RN Staffing Hours per Resident per Day
0.88594
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07447
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
2014-09-24
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
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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