Woodlyn Heights Healthcare Center - Inver Grove Heights Nursing Home

General Information

UPDATE
Federal Provider Number
245320
Provider Name
WOODLYN HEIGHTS HEALTHCARE CENTER
Provider Address
2060 UPPER 55TH STREET EAST
INVER GROVE HEIGHTS, MN 55077
Provider Phone Number
6514511881
Provider SSA County
180
Provider County Name
Dakota
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INVER WOOD HEALTHCARE CENTER INC
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
Both
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
4
QM Rating Footnote
Staffing Rating
4
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
2.03433
Reported LPN Staffing Hours per Resident per Day
0.86343
Reported RN Staffing Hours per Resident per Day
0.85149
Reported Licensed Staffing Hours per Resident per Day
1.71493
Reported Total Nurse Staffing Hours per Resident per Day
3.74925
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08507
Expected CNA Staffing Hours per Resident per Day
2.34485
Expected LPN Staffing Hours per Resident per Day
0.58989
Expected RN Staffing Hours per Resident per Day
0.95708
Expected Total Nurse Staffing Hours per Resident per Day
3.89182
Adjusted CNA Staffing Hours per Resident per Day
2.12877
Adjusted LPN Staffing Hours per Resident per Day
1.21487
Adjusted RN Staffing Hours per Resident per Day
0.66477
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88324
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
18
Cycle 2 Total Health Score
18
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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