Elders Home Inc
South Tousley, Po Box 188, New York Mills, MN 56567


Elders Home Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245562. The address is South Tousley, Po Box 188, New York Mills, MN 56567. The zip code is 56567. The phone number is 2183852005.


Elders Home Inc · South Tousley, Po Box 188, New York Mills, MN 56567

Federal Provider Number 245562
Provider Name ELDERS HOME INC
Address SOUTH TOUSLEY, PO BOX 188
NEW YORK MILLS, MN 56567
Phone Number 2183852005
SSA County Code 550
County Name Otter Tail
Ownership Type Non profit - Corporation
Certified Beds 45
Certified Beds Residents 32
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ELDERS HOME INC
Date First Approved to Provide Medicare Medicaid Services 06/01/1991
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 3
Health Inspection Rating 3
Quality Measure Rating 1
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.70938
Reported LPN Staffing Hours per Resident per Day 0.75
Reported RN Staffing Hours per Resident per Day 0.87344
Reported Licensed Staffing Hours per Resident per Day 1.62344
Reported Total Nurse Staffing Hours per Resident per Day 4.33282
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01406
Expected CNA Staffing Hours per Resident per Day 2.45053
Expected LPN Staffing Hours per Resident per Day 0.60372
Expected RN Staffing Hours per Resident per Day 0.82367
Expected Total Nurse Staffing Hours per Resident per Day 3.87792
Adjusted CNA Staffing Hours per Resident per Day 2.71288
Adjusted LPN Staffing Hours per Resident per Day 1.03111
Adjusted RN Staffing Hours per Resident per Day 0.79235
Adjusted Total Nurse Staffing Hours per Resident per Day 4.50374
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 01/17/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 11/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 12/04/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 26.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Elders Home Inc

Owner Name Role Association Date
ANDERSON, CALVIN (Individual) MANAGING EMPLOYEE since 04/01/2004
ELDERS HOME INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2004
FREDLEY, CHARLES (Individual) DIRECTOR since 02/01/2013
JACOBSON, RUSSELL (Individual) OFFICER since 01/01/1966
KOSKELA, LEROY (Individual) DIRECTOR since 11/01/2001
MURSU, MARTIN (Individual) OFFICER since 08/01/1983
PAAVOLA, EINAR (Individual) DIRECTOR since 08/01/1968
ROBERTS, ANN (Individual) DIRECTOR since 11/01/2006
RUTHER, RONALD (Individual) DIRECTOR since 11/01/2008
TUMBERG, ANDREW (Individual) OFFICER since 09/01/1999
TUMBERG, THOMAS (Individual) DIRECTOR since 02/01/2000
WALLGREN, CAROLYN (Individual) DIRECTOR since 05/01/2006
WINDEL, DELORES (Individual) DIRECTOR since 09/01/2009

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