Riverview Hospital & Nursing Home - Crookston Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
245251
Provider Name
RIVERVIEW HOSPITAL & NURSING HOME
Provider Address
323 SOUTH MINNESOTA
CROOKSTON, MN 56716
CROOKSTON, MN 56716
Provider Phone Number
(218) 281-9200
Provider SSA County
590
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
24
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
RIVERVIEW HEALTHCARE ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1982-08-01
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
4
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
2.51190
Reported LPN Staffing Hours per Resident per Day
0.09524
Reported RN Staffing Hours per Resident per Day
1.14524
Reported Licensed Staffing Hours per Resident per Day
1.24048
Reported Total Nurse Staffing Hours per Resident per Day
3.75238
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00238
Expected CNA Staffing Hours per Resident per Day
2.51619
Expected LPN Staffing Hours per Resident per Day
0.47937
Expected RN Staffing Hours per Resident per Day
0.59397
Expected Total Nurse Staffing Hours per Resident per Day
3.58952
Adjusted CNA Staffing Hours per Resident per Day
2.44952
Adjusted LPN Staffing Hours per Resident per Day
0.16490
Adjusted RN Staffing Hours per Resident per Day
1.44069
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21378
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
20.00000
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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