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Stewartville Care Center - Stewartville Nursing Home

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Federal Provider Number
245349
Provider Name
STEWARTVILLE CARE CENTER
Provider Address
120 FOURTH STREET NORTHEAST
STEWARTVILLE, MN 55976
Provider Phone Number
(507) 533-4288
Provider SSA County
540
Provider County Name
Olmsted
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STEWARTVILLE NURSING HOME, INC.
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
4
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
2.16667
Reported LPN Staffing Hours per Resident per Day
0.58000
Reported RN Staffing Hours per Resident per Day
1.03600
Reported Licensed Staffing Hours per Resident per Day
1.61600
Reported Total Nurse Staffing Hours per Resident per Day
3.78267
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03600
Expected CNA Staffing Hours per Resident per Day
2.46219
Expected LPN Staffing Hours per Resident per Day
0.60219
Expected RN Staffing Hours per Resident per Day
0.91435
Expected Total Nurse Staffing Hours per Resident per Day
3.97874
Adjusted CNA Staffing Hours per Resident per Day
2.15920
Adjusted LPN Staffing Hours per Resident per Day
0.79941
Adjusted RN Staffing Hours per Resident per Day
0.84661
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83226
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
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
36
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
72.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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