Minnesota Nursing Homes >> Minneapolis Nursing Homes >> Southside Care Center

Southside Care Center - Minneapolis Nursing Home

General Information

UPDATE
Federal Provider Number
24E507
Provider Name
SOUTHSIDE CARE CENTER
Provider Address
2644 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55408
Provider Phone Number
6128724233
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
For profit - Partnership
Number of Certified Beds
17
Number of Residents in Certified Beds
17
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1978-01-26
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
0.84118
Reported LPN Staffing Hours per Resident per Day
1.42647
Reported RN Staffing Hours per Resident per Day
0.75588
Reported Licensed Staffing Hours per Resident per Day
2.18235
Reported Total Nurse Staffing Hours per Resident per Day
3.02353
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.32602
Expected LPN Staffing Hours per Resident per Day
0.44620
Expected RN Staffing Hours per Resident per Day
0.61250
Expected Total Nurse Staffing Hours per Resident per Day
2.38472
Adjusted CNA Staffing Hours per Resident per Day
1.55654
Adjusted LPN Staffing Hours per Resident per Day
2.65343
Adjusted RN Staffing Hours per Resident per Day
0.92211
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11068
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-24
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
56.66700
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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