Woodbury Health Care Center - Woodbury Nursing Home

General Information

UPDATE
Federal Provider Number
245235
Provider Name
WOODBURY HEALTH CARE CENTER
Provider Address
7012 LAKE ROAD
WOODBURY, MN 55125
Provider Phone Number
6517356000
Provider SSA County
810
Provider County Name
Washington
Ownership Type
Non profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR CARE WOODBURY, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-06-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.13121
Reported LPN Staffing Hours per Resident per Day
0.74970
Reported RN Staffing Hours per Resident per Day
0.84394
Reported Licensed Staffing Hours per Resident per Day
1.59364
Reported Total Nurse Staffing Hours per Resident per Day
3.72485
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12152
Expected CNA Staffing Hours per Resident per Day
2.56901
Expected LPN Staffing Hours per Resident per Day
0.59567
Expected RN Staffing Hours per Resident per Day
0.94122
Expected Total Nurse Staffing Hours per Resident per Day
4.10591
Adjusted CNA Staffing Hours per Resident per Day
2.03555
Adjusted LPN Staffing Hours per Resident per Day
1.04462
Adjusted RN Staffing Hours per Resident per Day
0.66997
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65680
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-06
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
36.00000
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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