Twin Valley Living Center - Twin Valley Nursing Home
General Information
UPDATEFederal Provider Number
245419
Provider Name
TWIN VALLEY LIVING CENTER
Provider Address
208 OPPEGARD AVENUE NORTHWEST, PO BOX 480
TWIN VALLEY, MN 56584
TWIN VALLEY, MN 56584
Provider Phone Number
(218) 584-5181
Provider SSA County
530
Provider County Name
Norman
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
58
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOMES
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.26034
Reported LPN Staffing Hours per Resident per Day
0.73879
Reported RN Staffing Hours per Resident per Day
0.47241
Reported Licensed Staffing Hours per Resident per Day
1.21121
Reported Total Nurse Staffing Hours per Resident per Day
3.47154
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.31398
Expected LPN Staffing Hours per Resident per Day
0.55240
Expected RN Staffing Hours per Resident per Day
0.77969
Expected Total Nurse Staffing Hours per Resident per Day
3.64607
Adjusted CNA Staffing Hours per Resident per Day
2.39682
Adjusted LPN Staffing Hours per Resident per Day
1.11006
Adjusted RN Staffing Hours per Resident per Day
0.45273
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83795
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
37.33300
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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