St Lukes Home - Dickinson Nursing Home
General Information
UPDATEFederal Provider Number
355063
Provider Name
ST LUKES HOME
Provider Address
242 10TH ST W
DICKINSON, ND 58601
DICKINSON, ND 58601
Provider Phone Number
7014835000
Provider SSA County
440
Provider County Name
Stark
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. LUKE'S HOME
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.03023
Reported LPN Staffing Hours per Resident per Day
0.82500
Reported RN Staffing Hours per Resident per Day
0.84884
Reported Licensed Staffing Hours per Resident per Day
1.67384
Reported Total Nurse Staffing Hours per Resident per Day
4.70407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.53671
Expected LPN Staffing Hours per Resident per Day
0.58952
Expected RN Staffing Hours per Resident per Day
0.92126
Expected Total Nurse Staffing Hours per Resident per Day
4.04749
Adjusted CNA Staffing Hours per Resident per Day
2.93107
Adjusted LPN Staffing Hours per Resident per Day
1.16153
Adjusted RN Staffing Hours per Resident per Day
0.68846
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68479
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-01-16
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
96.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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 Benedicts Health Center
851 4th Ave E |
DICKINSON ND 58601 | 0.5 mile away
Richardton Health Center Inc
212 3rd Avenue West |
RICHARDTON ND 58652 | 22.2 miles away
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