Country Manor Health & Rehab Ctr
520 First Street Northeast, Sartell, MN 56377


Country Manor Health & Rehab Ctr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245330. The address is 520 First Street Northeast, Sartell, MN 56377. The zip code is 56377. The phone number is 3202531920.


Country Manor Health & Rehab Ctr · 520 First Street Northeast, Sartell, MN 56377

Federal Provider Number 245330
Provider Name COUNTRY MANOR HEALTH & REHAB CTR
Address 520 FIRST STREET NORTHEAST
SARTELL, MN 56377
Phone Number 3202531920
SSA County Code 720
County Name Stearns
Ownership Type Non profit - Corporation
Certified Beds 165
Certified Beds Residents 151
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name COUNTRY MANOR CAMPUS LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1986
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 5
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.33444
Reported LPN Staffing Hours per Resident per Day 0.80762
Reported RN Staffing Hours per Resident per Day 1.07086
Reported Licensed Staffing Hours per Resident per Day 1.87848
Reported Total Nurse Staffing Hours per Resident per Day 5.21292
Reported Physical Therapist Staffing Hours per Resident Per Day 0.1553
Expected CNA Staffing Hours per Resident per Day 2.58864
Expected LPN Staffing Hours per Resident per Day 0.61932
Expected RN Staffing Hours per Resident per Day 1.01567
Expected Total Nurse Staffing Hours per Resident per Day 4.22364
Adjusted CNA Staffing Hours per Resident per Day 3.16062
Adjusted LPN Staffing Hours per Resident per Day 1.08235
Adjusted RN Staffing Hours per Resident per Day 0.7878
Adjusted Total Nurse Staffing Hours per Resident per Day 4.97504
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 03/09/2017
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 02/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Standard Health Survey Date 03/12/2015
Cycle 3 Number of Health Revisits 1
Total Weighted Health Survey Score 5.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Country Manor Health & Rehab Ctr

Owner Name Role Association Date
BROWN, FRED (Individual) DIRECTOR since 06/01/1995
CONTINUUMS MANAGEMENT SERVICES (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2013
FRARACCIO, FELIX (Individual) DIRECTOR since 06/01/1995
HARGUTH, KEVIN (Individual) MANAGING EMPLOYEE since 04/22/2002
HARGUTH, KEVIN (Individual) OFFICER since 04/22/2002
KELM, BRIAN (Individual) MANAGING EMPLOYEE since 01/01/2013
KELM, BRIAN (Individual) OFFICER since 01/01/2013
ROSEN, MICHAEL (Individual) DIRECTOR since 06/01/1995
SANDERS, PAUL (Individual) DIRECTOR since 06/01/1995
STEWART, DAVID (Individual) OFFICER since 07/01/2007
THE FOUNDATION FOR HEALTH CARE CONTINUUMS (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 07/01/2008
WHEATON, SHERRY (Individual) DIRECTOR since 06/01/1995

street_number: 520
route: 1st Street Northeast (1st St NE)
locality, political: Sartell
admin_level_2, political: Benton County
admin_level_1, political: Minnesota (MN)
country, political: United States (US)
postal_code: 56377
types : premise
latitude: 45.6156198
longitude: -94.1889716
latlng: (45.6156198, -94.1889716)


56377 · Nursing Home

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Sartell · Nursing Home

St Benedicts Senior Community 990 19th Street South, Sartell, MN 56377

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