Fairview University Trans Serv
2450 Riverside Avenue South, Minneapolis, MN 55454


Fairview University Trans Serv is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245170. The address is 2450 Riverside Avenue South, Minneapolis, MN 55454. The zip code is 55454. The phone number is 6122734197.


Fairview University Trans Serv · 2450 Riverside Avenue South, Minneapolis, MN 55454

Federal Provider Number 245170
Provider Name FAIRVIEW UNIVERSITY TRANS SERV
Address 2450 RIVERSIDE AVENUE SOUTH
MINNEAPOLIS, MN 55454
Phone Number 6122734197
SSA County Code 260
County Name Hennepin
Ownership Type Non profit - Corporation
Certified Beds 20
Certified Beds Residents 13
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name FAIRVIEW HEALTH SERVICES
Date First Approved to Provide Medicare Medicaid Services 07/11/1969
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 2
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.60385
Reported RN Staffing Hours per Resident per Day 6.43846
Reported Licensed Staffing Hours per Resident per Day 6.43846
Reported Total Nurse Staffing Hours per Resident per Day 9.04231
Reported Physical Therapist Staffing Hours per Resident Per Day 0.53846
Expected CNA Staffing Hours per Resident per Day 2.28373
Expected LPN Staffing Hours per Resident per Day 0.81791
Expected RN Staffing Hours per Resident per Day 1.66668
Expected Total Nurse Staffing Hours per Resident per Day 4.76832
Adjusted CNA Staffing Hours per Resident per Day 2.79765
Adjusted RN Staffing Hours per Resident per Day 2.88647
Adjusted Total Nurse Staffing Hours per Resident per Day 7.64392
Cycle 1 Standard Survey Health Date 10/06/2016
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 11/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 10/02/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 2.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fairview University Trans Serv

Owner Name Role Association Date
DOWNS, LEVI (Individual) DIRECTOR since 01/01/2014
FROMM, DANIEL (Individual) MANAGING EMPLOYEE since 04/01/2001
GRABOW, KAREN (Individual) DIRECTOR since 01/01/2011
HENGEL, ANN (Individual) DIRECTOR since 08/13/2008
HEREFORD, JAMES (Individual) DIRECTOR since 12/10/2016
JACKSON, JAY (Individual) DIRECTOR since 01/01/2014
JOHNSON, PEGGY (Individual) DIRECTOR since 01/01/2013
LEY, CAROL (Individual) DIRECTOR since 03/01/2010
LOWRY, ANN (Individual) DIRECTOR since 01/01/2012
MADSEN, LINDA (Individual) DIRECTOR since 08/01/2014
OSTLUND, RICHARD (Individual) DIRECTOR since 01/01/2014
ROBERG, KEVIN (Individual) DIRECTOR since 02/23/2017
ROERING, KENNETH (Individual) DIRECTOR since 02/23/2017
THOMPSON, RICHARD (Individual) DIRECTOR since 01/01/2013
TOLAR, JAKUB (Individual) DIRECTOR since 01/01/2017
WALLIN, BRADFORD (Individual) DIRECTOR since 01/01/2012
WERGIN, BETSY (Individual) DIRECTOR since 01/01/2011

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