St Clare Living Community Of Mora - Mora Nursing Home

General Information

UPDATE
Federal Provider Number
245291
Provider Name
ST CLARE LIVING COMMUNITY OF MORA
Provider Address
110 NORTH 7TH STREET
MORA, MN 55051
Provider Phone Number
3206791411
Provider SSA County
320
Provider County Name
Kanabec
Ownership Type
Non profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BENEDICTINE LIVING COMMUNITY OF MORA
Date First Approved to Provide Medicare and Medicaid services
1985-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.95490
Reported LPN Staffing Hours per Resident per Day
0.69804
Reported RN Staffing Hours per Resident per Day
1.24902
Reported Licensed Staffing Hours per Resident per Day
1.94706
Reported Total Nurse Staffing Hours per Resident per Day
4.90196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13137
Expected CNA Staffing Hours per Resident per Day
2.45907
Expected LPN Staffing Hours per Resident per Day
0.60563
Expected RN Staffing Hours per Resident per Day
0.96838
Expected Total Nurse Staffing Hours per Resident per Day
4.03308
Adjusted CNA Staffing Hours per Resident per Day
2.94844
Adjusted LPN Staffing Hours per Resident per Day
0.95665
Adjusted RN Staffing Hours per Resident per Day
0.96374
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89931
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-06
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
24.00000
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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