Sunnyside Health Care Center - Cloquet Nursing Home
General Information
UPDATEFederal Provider Number
245045
Provider Name
SUNNYSIDE HEALTH CARE CENTER
Provider Address
512 SKYLINE BOULEVARD
CLOQUET, MN 55720
CLOQUET, MN 55720
Provider Phone Number
(218) 879-4641
Provider SSA County
80
Provider County Name
Carlton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
COMMUNITY MEMORIAL HOSPITAL ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.77317
Reported LPN Staffing Hours per Resident per Day
1.06220
Reported RN Staffing Hours per Resident per Day
0.63049
Reported Licensed Staffing Hours per Resident per Day
1.69268
Reported Total Nurse Staffing Hours per Resident per Day
4.46586
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00854
Expected CNA Staffing Hours per Resident per Day
2.40623
Expected LPN Staffing Hours per Resident per Day
0.59164
Expected RN Staffing Hours per Resident per Day
0.85636
Expected Total Nurse Staffing Hours per Resident per Day
3.85423
Adjusted CNA Staffing Hours per Resident per Day
2.82787
Adjusted LPN Staffing Hours per Resident per Day
1.49014
Adjusted RN Staffing Hours per Resident per Day
0.55012
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67057
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
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
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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