Renvilla Health Center - Renville Nursing Home

General Information

UPDATE
Federal Provider Number
245554
Provider Name
RENVILLA HEALTH CENTER
Provider Address
205 SOUTHEAST ELM AVENUE
RENVILLE, MN 56284
Provider Phone Number
3203298381
Provider SSA County
640
Provider County Name
Renville
Ownership Type
Non profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENVILLE HEALTH SERVICES
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.78036
Reported LPN Staffing Hours per Resident per Day
0.25446
Reported RN Staffing Hours per Resident per Day
0.69464
Reported Licensed Staffing Hours per Resident per Day
0.94911
Reported Total Nurse Staffing Hours per Resident per Day
3.72946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05089
Expected CNA Staffing Hours per Resident per Day
2.49687
Expected LPN Staffing Hours per Resident per Day
0.56498
Expected RN Staffing Hours per Resident per Day
0.87132
Expected Total Nurse Staffing Hours per Resident per Day
3.93316
Adjusted CNA Staffing Hours per Resident per Day
2.73229
Adjusted LPN Staffing Hours per Resident per Day
0.37382
Adjusted RN Staffing Hours per Resident per Day
0.59569
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82214
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-22
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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