St Isidore Health Center Of Greenwood Prairie - Plainview Nursing Home
General Information
UPDATEFederal Provider Number
245345
Provider Name
ST ISIDORE HEALTH CENTER OF GREENWOOD PRAIRIE
Provider Address
800 SECOND AVENUE NORTHWEST
PLAINVIEW, MN 55964
PLAINVIEW, MN 55964
Provider Phone Number
5075343191
Provider SSA County
780
Provider County Name
Wabasha
Ownership Type
Non profit - Church related
Number of Certified Beds
53
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BENEDICTINE CARE CENTERS
Date First Approved to Provide Medicare and Medicaid services
1986-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.12391
Reported LPN Staffing Hours per Resident per Day
0.79783
Reported RN Staffing Hours per Resident per Day
0.64783
Reported Licensed Staffing Hours per Resident per Day
1.44565
Reported Total Nurse Staffing Hours per Resident per Day
3.56957
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03913
Expected CNA Staffing Hours per Resident per Day
2.61565
Expected LPN Staffing Hours per Resident per Day
0.63177
Expected RN Staffing Hours per Resident per Day
0.98360
Expected Total Nurse Staffing Hours per Resident per Day
4.23102
Adjusted CNA Staffing Hours per Resident per Day
1.99241
Adjusted LPN Staffing Hours per Resident per Day
1.04816
Adjusted RN Staffing Hours per Resident per Day
0.49213
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40073
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-19
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
1
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
St Elizabeth Medical Center
1200 Fifth Grant Boulevard West |
WABASHA MN 55981 | 16.6 miles away
Mayo Clinic Health System - Lake City
500 West Grant Street |
LAKE CITY MN 55041 | 20.8 miles away
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