Mount Olivet Careview Home
5517 Lyndale Avenue South, Minneapolis, MN 55419


Mount Olivet Careview Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245071. The address is 5517 Lyndale Avenue South, Minneapolis, MN 55419. The zip code is 55419. The phone number is 6128275677.


Mount Olivet Careview Home · 5517 Lyndale Avenue South, Minneapolis, MN 55419

Federal Provider Number 245071
Provider Name MOUNT OLIVET CAREVIEW HOME
Address 5517 LYNDALE AVENUE SOUTH
MINNEAPOLIS, MN 55419
Phone Number 6128275677
SSA County Code 260
County Name Hennepin
Ownership Type Non profit - Church related
Certified Beds 153
Certified Beds Residents 146
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MOUNT OLIVET CAREVIEW HOME
Date First Approved to Provide Medicare Medicaid Services 01/01/1990
Continuing Care Retirement Community true
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 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.10616
Reported LPN Staffing Hours per Resident per Day 0.99829
Reported RN Staffing Hours per Resident per Day 0.93356
Reported Licensed Staffing Hours per Resident per Day 1.93185
Reported Total Nurse Staffing Hours per Resident per Day 5.03801
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06712
Expected CNA Staffing Hours per Resident per Day 2.71323
Expected LPN Staffing Hours per Resident per Day 0.60877
Expected RN Staffing Hours per Resident per Day 0.89898
Expected Total Nurse Staffing Hours per Resident per Day 4.22099
Adjusted CNA Staffing Hours per Resident per Day 2.80904
Adjusted LPN Staffing Hours per Resident per Day 1.36108
Adjusted RN Staffing Hours per Resident per Day 0.77594
Adjusted Total Nurse Staffing Hours per Resident per Day 4.81113
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 04/13/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
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 03/26/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 26.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mount Olivet Careview Home

Owner Name Role Association Date
ANDERSON, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/28/1980
ARNESON, MARTHA (Individual) DIRECTOR since 05/01/2008
BEESE, MARK (Individual) DIRECTOR since 05/01/2011
BENT, CHRISTINE (Individual) DIRECTOR since 05/01/2010
BROWN, ANDREA (Individual) DIRECTOR since 06/01/2009
CARLSON, DAVID (Individual) DIRECTOR since 05/01/2011
CARLSON, MARGARET (Individual) DIRECTOR since 06/01/1988
EVJEN, BARBARA (Individual) DIRECTOR since 04/23/2000
GILSTER, LANA (Individual) DIRECTOR since 02/01/1998
HALVA, KURT (Individual) DIRECTOR since 08/01/1997
HOKANSON, TIMOTHY (Individual) OFFICER since 04/28/1986
JARCHO, RUTH (Individual) DIRECTOR since 10/01/1999
JOHNSON, CRAIG (Individual) OFFICER since 08/01/2011
JOHNSON, KAREN (Individual) DIRECTOR since 09/01/2008
KOTZER, KENNETH (Individual) DIRECTOR since 01/01/2008
KUEHN, JOHN (Individual) DIRECTOR since 03/01/2002
MACNALLY, THOMAS (Individual) OFFICER since 06/01/1995
OLSON, TRUDY (Individual) DIRECTOR since 02/23/2012
ROGNESS, BEVERLY (Individual) OFFICER since 08/01/1998
WARNER, PATRICIA (Individual) DIRECTOR since 09/01/2011

55419 · Nursing Home

Mount Olivet Home 5517 Lyndale Avenue South, Minneapolis, MN 55419

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