Minnesota Nursing Homes >> Saint Paul Nursing Homes >> Shirley Chapman Sholom Home East

Shirley Chapman Sholom Home East - Saint Paul Nursing Home

General Information

UPDATE
Federal Provider Number
245411
Provider Name
SHIRLEY CHAPMAN SHOLOM HOME EAST
Provider Address
740 KAY AVENUE
SAINT PAUL, MN 55102
Provider Phone Number
6513282000
Provider SSA County
610
Provider County Name
Ramsey
Ownership Type
Non profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHOLOM HOME EAST INC
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.50253
Reported LPN Staffing Hours per Resident per Day
0.86566
Reported RN Staffing Hours per Resident per Day
0.83687
Reported Licensed Staffing Hours per Resident per Day
1.70253
Reported Total Nurse Staffing Hours per Resident per Day
4.20506
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27677
Expected CNA Staffing Hours per Resident per Day
2.38263
Expected LPN Staffing Hours per Resident per Day
0.61959
Expected RN Staffing Hours per Resident per Day
1.06639
Expected Total Nurse Staffing Hours per Resident per Day
4.06861
Adjusted CNA Staffing Hours per Resident per Day
2.57717
Adjusted LPN Staffing Hours per Resident per Day
1.15964
Adjusted RN Staffing Hours per Resident per Day
0.58638
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16608
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-03-16
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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