Prairie Manor Care Center - Blooming Prairie Nursing Home

General Information

UPDATE
Federal Provider Number
245482
Provider Name
PRAIRIE MANOR CARE CENTER
Provider Address
220 THIRD STREET NORTHWEST
BLOOMING PRAIRIE, MN 55917
Provider Phone Number
5075834434
Provider SSA County
730
Provider County Name
Steele
Ownership Type
Non profit - Church related
Number of Certified Beds
52
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1987-05-01
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
2
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
2.52396
Reported LPN Staffing Hours per Resident per Day
1.06354
Reported RN Staffing Hours per Resident per Day
0.48229
Reported Licensed Staffing Hours per Resident per Day
1.54583
Reported Total Nurse Staffing Hours per Resident per Day
4.06979
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07292
Expected CNA Staffing Hours per Resident per Day
2.52349
Expected LPN Staffing Hours per Resident per Day
0.61555
Expected RN Staffing Hours per Resident per Day
0.98572
Expected Total Nurse Staffing Hours per Resident per Day
4.12477
Adjusted CNA Staffing Hours per Resident per Day
2.45415
Adjusted LPN Staffing Hours per Resident per Day
1.43406
Adjusted RN Staffing Hours per Resident per Day
0.36559
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97717
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-27
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-03
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
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-02-16
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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