St Therese Home - New Hope Nursing Home
General Information
UPDATEFederal Provider Number
245518
Provider Name
ST THERESE HOME
Provider Address
8000 BASS LAKE ROAD
NEW HOPE, MN 55428
NEW HOPE, MN 55428
Provider Phone Number
7635315000
Provider SSA County
260
Provider County Name
Hennepin
Ownership Type
Non profit - Corporation
Number of Certified Beds
258
Number of Residents in Certified Beds
247
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST THERESE HOME INC
Date First Approved to Provide Medicare and Medicaid services
1988-02-01
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49534
Reported LPN Staffing Hours per Resident per Day
0.50385
Reported RN Staffing Hours per Resident per Day
1.06093
Reported Licensed Staffing Hours per Resident per Day
1.56478
Reported Total Nurse Staffing Hours per Resident per Day
4.06012
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11113
Expected CNA Staffing Hours per Resident per Day
2.57547
Expected LPN Staffing Hours per Resident per Day
0.61562
Expected RN Staffing Hours per Resident per Day
0.97650
Expected Total Nurse Staffing Hours per Resident per Day
4.16759
Adjusted CNA Staffing Hours per Resident per Day
2.37736
Adjusted LPN Staffing Hours per Resident per Day
0.67931
Adjusted RN Staffing Hours per Resident per Day
0.81181
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92695
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
12
Cycle 2 Standard Health Survey Date
2014-04-03
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
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.00000
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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