Minnesota Nursing Homes >> Bloomington Nursing Homes >> Presbyterian Homes Of Bloomington

Presbyterian Homes Of Bloomington - Bloomington Nursing Home

General Information

UPDATE
Federal Provider Number
245556
Provider Name
PRESBYTERIAN HOMES OF BLOOMINGTON
Provider Address
9889 PENN AVENUE SOUTH
BLOOMINGTON, MN 55431
Provider Phone Number
9529483000
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOMES BLOOMINGTON CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1991-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.69293
Reported LPN Staffing Hours per Resident per Day
0.71304
Reported RN Staffing Hours per Resident per Day
1.28587
Reported Licensed Staffing Hours per Resident per Day
1.99891
Reported Total Nurse Staffing Hours per Resident per Day
4.69184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28315
Expected CNA Staffing Hours per Resident per Day
2.70142
Expected LPN Staffing Hours per Resident per Day
0.64394
Expected RN Staffing Hours per Resident per Day
1.01097
Expected Total Nurse Staffing Hours per Resident per Day
4.35632
Adjusted CNA Staffing Hours per Resident per Day
2.44599
Adjusted LPN Staffing Hours per Resident per Day
0.91907
Adjusted RN Staffing Hours per Resident per Day
0.95038
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34135
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
2014-02-27
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
34.00000
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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