South Dakota Nursing Homes >> Roslyn Nursing Homes >> Strand-kjorsvig Community Rest Home

Strand-kjorsvig Community Rest Home - Roslyn Nursing Home

General Information

UPDATE
Federal Provider Number
435125
Provider Name
STRAND-KJORSVIG COMMUNITY REST HOME
Provider Address
801 S MAIN POST OFFICE BOX 195
ROSLYN, SD 57261
Provider Phone Number
6054864523
Provider SSA County
180
Provider County Name
Day
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STRAND-KJORSVIG COMMUNITY REST HOME
Date First Approved to Provide Medicare and Medicaid services
2008-08-25
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
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
1.88387
Reported LPN Staffing Hours per Resident per Day
0.45323
Reported RN Staffing Hours per Resident per Day
1.01452
Reported Licensed Staffing Hours per Resident per Day
1.46774
Reported Total Nurse Staffing Hours per Resident per Day
3.35162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00645
Expected CNA Staffing Hours per Resident per Day
2.12882
Expected LPN Staffing Hours per Resident per Day
0.52253
Expected RN Staffing Hours per Resident per Day
0.79559
Expected Total Nurse Staffing Hours per Resident per Day
3.44694
Adjusted CNA Staffing Hours per Resident per Day
2.17136
Adjusted LPN Staffing Hours per Resident per Day
0.71992
Adjusted RN Staffing Hours per Resident per Day
0.95282
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91943
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
253
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
253
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-12
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
137.16700
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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