Presbyterian Homes Of North Oaks - North Oaks Nursing Home

General Information

UPDATE
Federal Provider Number
245613
Provider Name
PRESBYTERIAN HOMES OF NORTH OAKS
Provider Address
5919 CENTERVILLE ROAD
NORTH OAKS, MN 55127
Provider Phone Number
6517654000
Provider SSA County
610
Provider County Name
Ramsey
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOMES OF NORTH OAKS INC,
Date First Approved to Provide Medicare and Medicaid services
2006-08-02
Continuing Care Retirement Community
Y
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
5
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
2.97545
Reported LPN Staffing Hours per Resident per Day
0.52182
Reported RN Staffing Hours per Resident per Day
0.87727
Reported Licensed Staffing Hours per Resident per Day
1.39909
Reported Total Nurse Staffing Hours per Resident per Day
4.37454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16091
Expected CNA Staffing Hours per Resident per Day
2.47303
Expected LPN Staffing Hours per Resident per Day
0.59008
Expected RN Staffing Hours per Resident per Day
0.94825
Expected Total Nurse Staffing Hours per Resident per Day
4.01136
Adjusted CNA Staffing Hours per Resident per Day
2.95219
Adjusted LPN Staffing Hours per Resident per Day
0.73399
Adjusted RN Staffing Hours per Resident per Day
0.69127
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39585
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
20
Cycle 1 Standard Survey Health Date
2014-11-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-24
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.33300
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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