Sunrise Manor Nursing Home - Tyler Nursing Home

General Information

UPDATE
Federal Provider Number
245357
Provider Name
SUNRISE MANOR NURSING HOME
Provider Address
240 WILLOW STREET
TYLER, MN 56178
Provider Phone Number
(507) 247-5921
Provider SSA County
400
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
TYLER HEALTHCARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1986-05-01
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
2.47121
Reported LPN Staffing Hours per Resident per Day
0.84697
Reported RN Staffing Hours per Resident per Day
0.89394
Reported Licensed Staffing Hours per Resident per Day
1.74091
Reported Total Nurse Staffing Hours per Resident per Day
4.21212
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00909
Expected CNA Staffing Hours per Resident per Day
2.44063
Expected LPN Staffing Hours per Resident per Day
0.61685
Expected RN Staffing Hours per Resident per Day
0.82238
Expected Total Nurse Staffing Hours per Resident per Day
3.87986
Adjusted CNA Staffing Hours per Resident per Day
2.48445
Adjusted LPN Staffing Hours per Resident per Day
1.13964
Adjusted RN Staffing Hours per Resident per Day
0.81221
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37609
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
16
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5720
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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