Rosewood On Broadway - Fargo Nursing Home

General Information

UPDATE
Federal Provider Number
355047
Provider Name
ROSEWOOD ON BROADWAY
Provider Address
1351 N BROADWAY
FARGO, ND 58102
Provider Phone Number
7012777999
Provider SSA County
80
Provider County Name
Cass
Ownership Type
Non profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.12568
Reported LPN Staffing Hours per Resident per Day
1.06622
Reported RN Staffing Hours per Resident per Day
0.51126
Reported Licensed Staffing Hours per Resident per Day
1.57748
Reported Total Nurse Staffing Hours per Resident per Day
4.70316
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00631
Expected CNA Staffing Hours per Resident per Day
2.45381
Expected LPN Staffing Hours per Resident per Day
0.58862
Expected RN Staffing Hours per Resident per Day
0.83195
Expected Total Nurse Staffing Hours per Resident per Day
3.87438
Adjusted CNA Staffing Hours per Resident per Day
3.12554
Adjusted LPN Staffing Hours per Resident per Day
1.50345
Adjusted RN Staffing Hours per Resident per Day
0.45918
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89316
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-25
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
40.00000
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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