The Margaret S Parmly Residence - Chisago City Nursing Home

General Information

UPDATE
Federal Provider Number
245328
Provider Name
THE MARGARET S PARMLY RESIDENCE
Provider Address
28210 OLD TOWNE ROAD
CHISAGO CITY, MN 55013
Provider Phone Number
6512570575
Provider SSA County
120
Provider County Name
Chisago
Ownership Type
Non profit - Church related
Number of Certified Beds
101
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ECUMEN
Date First Approved to Provide Medicare and Medicaid services
1986-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96722
Reported LPN Staffing Hours per Resident per Day
0.98444
Reported RN Staffing Hours per Resident per Day
0.57722
Reported Licensed Staffing Hours per Resident per Day
1.56167
Reported Total Nurse Staffing Hours per Resident per Day
4.52888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09500
Expected CNA Staffing Hours per Resident per Day
2.63492
Expected LPN Staffing Hours per Resident per Day
0.61946
Expected RN Staffing Hours per Resident per Day
1.02094
Expected Total Nurse Staffing Hours per Resident per Day
4.27531
Adjusted CNA Staffing Hours per Resident per Day
2.76315
Adjusted LPN Staffing Hours per Resident per Day
1.31903
Adjusted RN Staffing Hours per Resident per Day
0.42245
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26997
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-09-19
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
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
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
48.00000
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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