Tweeten Lutheran Health Care Center - Spring Grove Nursing Home
General Information
UPDATEFederal Provider Number
245429
Provider Name
TWEETEN LUTHERAN HEALTH CARE CENTER
Provider Address
125 5TH AVENUE SOUTHEAST
SPRING GROVE, MN 55974
SPRING GROVE, MN 55974
Provider Phone Number
(507) 498-3211
Provider SSA County
270
Provider County Name
Houston
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TWEETEN LUTHERAN HEALTHCARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
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
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
2.48864
Reported LPN Staffing Hours per Resident per Day
0.41932
Reported RN Staffing Hours per Resident per Day
1.11250
Reported Licensed Staffing Hours per Resident per Day
1.53182
Reported Total Nurse Staffing Hours per Resident per Day
4.02046
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06477
Expected CNA Staffing Hours per Resident per Day
2.35741
Expected LPN Staffing Hours per Resident per Day
0.54030
Expected RN Staffing Hours per Resident per Day
0.88410
Expected Total Nurse Staffing Hours per Resident per Day
3.78181
Adjusted CNA Staffing Hours per Resident per Day
2.59029
Adjusted LPN Staffing Hours per Resident per Day
0.64416
Adjusted RN Staffing Hours per Resident per Day
0.94023
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28527
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
153
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
153
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
81.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
9133
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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