St Elizabeth Medical Center - Wabasha Nursing Home
General Information
UPDATEFederal Provider Number
245487
Provider Name
ST ELIZABETH MEDICAL CENTER
Provider Address
1200 FIFTH GRANT BOULEVARD WEST
WABASHA, MN 55981
WABASHA, MN 55981
Provider Phone Number
6515654531
Provider SSA County
780
Provider County Name
Wabasha
Ownership Type
Non profit - Church related
Number of Certified Beds
100
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Date First Approved to Provide Medicare and Medicaid services
1986-02-14
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
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44839
Reported LPN Staffing Hours per Resident per Day
0.68226
Reported RN Staffing Hours per Resident per Day
0.47043
Reported Licensed Staffing Hours per Resident per Day
1.15269
Reported Total Nurse Staffing Hours per Resident per Day
3.60108
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05591
Expected CNA Staffing Hours per Resident per Day
2.39976
Expected LPN Staffing Hours per Resident per Day
0.55377
Expected RN Staffing Hours per Resident per Day
0.80477
Expected Total Nurse Staffing Hours per Resident per Day
3.75830
Adjusted CNA Staffing Hours per Resident per Day
2.50343
Adjusted LPN Staffing Hours per Resident per Day
1.02257
Adjusted RN Staffing Hours per Resident per Day
0.43678
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86227
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
28
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-15
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
0
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
20.66700
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
Nursiong Homes Nearby
Mayo Clinic Health System - Lake City
500 West Grant Street |
LAKE CITY MN 55041 | 12.6 miles away
St Isidore Health Center Of Greenwood Prairie
800 Second Avenue Northwest |
PLAINVIEW MN 55964 | 16.6 miles away
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