St Michaels Health & Rehab Center - Virginia Nursing Home
General Information
UPDATEFederal Provider Number
245283
Provider Name
ST MICHAELS HEALTH & REHAB CENTER
Provider Address
1201 8TH STREET SOUTH
VIRGINIA, MN 55792
VIRGINIA, MN 55792
Provider Phone Number
(218) 748-7800
Provider SSA County
680
Provider County Name
St. Louis
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
83
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARROWHEAD SENIOR LIVING COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1985-08-01
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
2
Health Inspection Rating Footnote
QM Rating
3
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
2.36712
Reported LPN Staffing Hours per Resident per Day
0.73356
Reported RN Staffing Hours per Resident per Day
0.55068
Reported Licensed Staffing Hours per Resident per Day
1.28425
Reported Total Nurse Staffing Hours per Resident per Day
3.65136
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16233
Expected CNA Staffing Hours per Resident per Day
2.50001
Expected LPN Staffing Hours per Resident per Day
0.58753
Expected RN Staffing Hours per Resident per Day
1.00075
Expected Total Nurse Staffing Hours per Resident per Day
4.08828
Adjusted CNA Staffing Hours per Resident per Day
2.32328
Adjusted LPN Staffing Hours per Resident per Day
1.03630
Adjusted RN Staffing Hours per Resident per Day
0.41116
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60011
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
26
Cycle 3 Total Health Score
78
Total Weighted Health Survey Score
53.00000
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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