Minnesota Nursing Homes >> Worthington Nursing Homes >> South Shore Care Center

South Shore Care Center - Worthington Nursing Home

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Federal Provider Number
245596
Provider Name
SOUTH SHORE CARE CENTER
Provider Address
1307 SOUTH SHORE DRIVE PO BOX 69
WORTHINGTON, MN 56187
Provider Phone Number
(507) 376-3175
Provider SSA County
520
Provider County Name
Nobles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATCHISON ENTERPRISES INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
4
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
2.54048
Reported LPN Staffing Hours per Resident per Day
0.52381
Reported RN Staffing Hours per Resident per Day
0.91190
Reported Licensed Staffing Hours per Resident per Day
1.43571
Reported Total Nurse Staffing Hours per Resident per Day
3.97619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07143
Expected CNA Staffing Hours per Resident per Day
2.42410
Expected LPN Staffing Hours per Resident per Day
0.65897
Expected RN Staffing Hours per Resident per Day
1.00826
Expected Total Nurse Staffing Hours per Resident per Day
4.09133
Adjusted CNA Staffing Hours per Resident per Day
2.57150
Adjusted LPN Staffing Hours per Resident per Day
0.65976
Adjusted RN Staffing Hours per Resident per Day
0.67579
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91746
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
74.66700
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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