Zumbrota Care Center - Zumbrota Nursing Home

General Information

UPDATE
Federal Provider Number
245376
Provider Name
ZUMBROTA CARE CENTER
Provider Address
433 MILL STREET
ZUMBROTA, MN 55992
Provider Phone Number
5077328400
Provider SSA County
240
Provider County Name
Goodhue
Ownership Type
Non profit - Church related
Number of Certified Beds
50
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZUMBROTA HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1986-12-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.81316
Reported LPN Staffing Hours per Resident per Day
0.55789
Reported RN Staffing Hours per Resident per Day
0.71842
Reported Licensed Staffing Hours per Resident per Day
1.27632
Reported Total Nurse Staffing Hours per Resident per Day
4.08947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15000
Expected CNA Staffing Hours per Resident per Day
2.55981
Expected LPN Staffing Hours per Resident per Day
0.55225
Expected RN Staffing Hours per Resident per Day
0.87030
Expected Total Nurse Staffing Hours per Resident per Day
3.98236
Adjusted CNA Staffing Hours per Resident per Day
2.69654
Adjusted LPN Staffing Hours per Resident per Day
0.83848
Adjusted RN Staffing Hours per Resident per Day
0.61680
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13931
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-23
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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