St Francis Home - Breckenridge Nursing Home
General Information
UPDATEFederal Provider Number
245265
Provider Name
ST FRANCIS HOME
Provider Address
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
BRECKENRIDGE, MN 56520
Provider Phone Number
2186433000
Provider SSA County
830
Provider County Name
Wilkin
Ownership Type
Non profit - Church related
Number of Certified Beds
80
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ST FRANCIS HOME
Date First Approved to Provide Medicare and Medicaid services
1984-06-01
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
5
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
2.22133
Reported LPN Staffing Hours per Resident per Day
0.90467
Reported RN Staffing Hours per Resident per Day
0.61400
Reported Licensed Staffing Hours per Resident per Day
1.51867
Reported Total Nurse Staffing Hours per Resident per Day
3.74000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04200
Expected CNA Staffing Hours per Resident per Day
2.46192
Expected LPN Staffing Hours per Resident per Day
0.58105
Expected RN Staffing Hours per Resident per Day
0.79655
Expected Total Nurse Staffing Hours per Resident per Day
3.83952
Adjusted CNA Staffing Hours per Resident per Day
2.21391
Adjusted LPN Staffing Hours per Resident per Day
1.29227
Adjusted RN Staffing Hours per Resident per Day
0.57596
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92642
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
0
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-19
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
20.00000
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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