North Dakota Nursing Homes >> Bismarck Nursing Homes >> St Alexius Medical Ctr Tcu

St Alexius Medical Ctr Tcu - Bismarck Nursing Home

General Information

UPDATE
Federal Provider Number
355117
Provider Name
ST ALEXIUS MEDICAL CTR TCU
Provider Address
900 E BROADWAY
BISMARCK, ND 58506
Provider Phone Number
7015304894
Provider SSA County
70
Provider County Name
Burleigh
Ownership Type
Non profit - Corporation
Number of Certified Beds
19
Number of Residents in Certified Beds
10
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
ST ALEXIUS MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1993-07-22
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.23000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
7.82500
Reported Licensed Staffing Hours per Resident per Day
7.82500
Reported Total Nurse Staffing Hours per Resident per Day
10.05500
Reported Physical Therapist Staffing Hours per Resident Per Day
1.71500
Expected CNA Staffing Hours per Resident per Day
2.28388
Expected LPN Staffing Hours per Resident per Day
1.09731
Expected RN Staffing Hours per Resident per Day
2.36553
Expected Total Nurse Staffing Hours per Resident per Day
5.74671
Adjusted CNA Staffing Hours per Resident per Day
2.39582
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
2.47169
Adjusted Total Nurse Staffing Hours per Resident per Day
7.05285
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-09-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
16
Cycle 2 Standard Health Survey Date
2013-10-30
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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