St Lucas Care Center
500 Southeast First Street, Faribault, MN 55021


St Lucas Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245067. The address is 500 Southeast First Street, Faribault, MN 55021. The zip code is 55021. The phone number is 5073325100.


St Lucas Care Center · 500 Southeast First Street, Faribault, MN 55021

Federal Provider Number 245067
Provider Name ST LUCAS CARE CENTER
Address 500 SOUTHEAST FIRST STREET
FARIBAULT, MN 55021
Phone Number 5073325100
SSA County Code 650
County Name Rice
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 71
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FARIBAULT HEALTHCARE LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.28521
Reported LPN Staffing Hours per Resident per Day 0.68944
Reported RN Staffing Hours per Resident per Day 1.18239
Reported Licensed Staffing Hours per Resident per Day 1.87183
Reported Total Nurse Staffing Hours per Resident per Day 4.15704
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02606
Expected CNA Staffing Hours per Resident per Day 2.60684
Expected LPN Staffing Hours per Resident per Day 0.70001
Expected RN Staffing Hours per Resident per Day 1.14146
Expected Total Nurse Staffing Hours per Resident per Day 4.44831
Adjusted CNA Staffing Hours per Resident per Day 2.15096
Adjusted LPN Staffing Hours per Resident per Day 0.81747
Adjusted RN Staffing Hours per Resident per Day 0.77399
Adjusted Total Nurse Staffing Hours per Resident per Day 3.76696
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 07/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 05/14/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 08/28/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 24.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · St Lucas Care Center

Owner Name Role Association Date
ACOSTA, JILL (Individual) MANAGING EMPLOYEE since 01/01/2015
BOERBOOM, THOMAS (Individual) OFFICER since 12/30/2009
BOERBOOM, THOMAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/30/2009
CONTRIS, PAUL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 07/01/2001
CONTRIS, PAUL (Individual) OFFICER since 07/01/2001
CONTRIS, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2001
HILLMAN, HEIDI (Individual) OFFICER since 01/02/2011
MOLGARD, BRADLEY (Individual) OFFICER since 01/01/2008
WELCOV HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2015

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