Robbinsdale Rehab & Care Center - Robbinsdale Nursing Home
General Information
UPDATEFederal Provider Number
245417
Provider Name
ROBBINSDALE REHAB & CARE CENTER
Provider Address
3130 GRIMES AVENUE NORTH
ROBBINSDALE, MN 55422
ROBBINSDALE, MN 55422
Provider Phone Number
(763) 588-0771
Provider SSA County
260
Provider County Name
Hennepin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1987-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.00685
Reported LPN Staffing Hours per Resident per Day
0.77397
Reported RN Staffing Hours per Resident per Day
0.95890
Reported Licensed Staffing Hours per Resident per Day
1.73288
Reported Total Nurse Staffing Hours per Resident per Day
3.73972
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05068
Expected CNA Staffing Hours per Resident per Day
2.29197
Expected LPN Staffing Hours per Resident per Day
0.73565
Expected RN Staffing Hours per Resident per Day
1.25390
Expected Total Nurse Staffing Hours per Resident per Day
4.28151
Adjusted CNA Staffing Hours per Resident per Day
2.14846
Adjusted LPN Staffing Hours per Resident per Day
0.87324
Adjusted RN Staffing Hours per Resident per Day
0.57141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52082
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
8
Cycle 1 Standard Survey Health Date
2015-01-08
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
1
Cycle 2 Number of Standard Health Deficiencies
1
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
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.00000
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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