Sanford Health Continuing Care Center Off Collins - Mandan Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
355106
Provider Name
SANFORD HEALTH CONTINUING CARE CENTER OFF COLLINS
Provider Address
201 14TH ST NW
MANDAN, ND 58554
MANDAN, ND 58554
Provider Phone Number
(701) 663-4274
Provider SSA County
290
Provider County Name
Morton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANFORD LIVING CENTERS
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.53852
Reported LPN Staffing Hours per Resident per Day
0.32049
Reported RN Staffing Hours per Resident per Day
1.33770
Reported Licensed Staffing Hours per Resident per Day
1.65820
Reported Total Nurse Staffing Hours per Resident per Day
5.19671
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10984
Expected CNA Staffing Hours per Resident per Day
2.47544
Expected LPN Staffing Hours per Resident per Day
0.73291
Expected RN Staffing Hours per Resident per Day
1.20260
Expected Total Nurse Staffing Hours per Resident per Day
4.41094
Adjusted CNA Staffing Hours per Resident per Day
3.50745
Adjusted LPN Staffing Hours per Resident per Day
0.36295
Adjusted RN Staffing Hours per Resident per Day
0.83114
Adjusted Total Nurse Staffing Hours per Resident per Day
4.74897
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-23
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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