St Therese of Woodbury LLC
7555 Bailey Road, Woodbury, MN 55129


St Therese of Woodbury LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245632. The address is 7555 Bailey Road, Woodbury, MN 55129. The zip code is 55129. The phone number is 6512099100.


St Therese of Woodbury LLC · 7555 Bailey Road, Woodbury, MN 55129

Federal Provider Number 245632
Provider Name ST THERESE OF WOODBURY LLC
Address 7555 BAILEY ROAD
WOODBURY, MN 55129
Phone Number 6512099100
SSA County Code 810
County Name Washington
Ownership Type Non profit - Other
Certified Beds 56
Certified Beds Residents 12
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ST. THERESE OF WOODBURY, LLC
Date First Approved to Provide Medicare Medicaid Services 09/08/2016
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 Footnote Too New to Rate
Health Inspection Rating Footnote Too New to Rate
Quality Measure Rating Footnote Too New to Rate
Staffing Rating Footnote Too New to Rate
RN Staffing Rating Footnote Too New to Rate
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.61805
Expected LPN Staffing Hours per Resident per Day 0.79606
Expected RN Staffing Hours per Resident per Day 1.53603
Expected Total Nurse Staffing Hours per Resident per Day 4.95014
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · St Therese of Woodbury LLC

Owner Name Role Association Date
ANDERSON, ANN (Individual) DIRECTOR since 03/01/2015
BYRON, JOHN (Individual) DIRECTOR since 08/01/2013
CHOROMANKSI, LYNN (Individual) DIRECTOR since 03/08/2012
DEGNAN, RITA (Individual) DIRECTOR since 03/01/2015
DOWNEY, WILLIAM (Individual) DIRECTOR since 06/01/2004
GILLILLESPIE, JOSEPH (Individual) DIRECTOR since 06/02/2011
HOFFMANN, DAVID (Individual) DIRECTOR since 06/01/2000
KRENN, DAVID (Individual) DIRECTOR since 12/01/2011
LEITER, CRAIG (Individual) DIRECTOR since 12/01/2013
MCCROSSAN, JANE (Individual) DIRECTOR since 12/01/2010
MCDONALD, BRIAN (Individual) DIRECTOR since 03/01/2015
MCENANEY, THERESA (Individual) DIRECTOR since 04/20/2015
MEADS, STEVE (Individual) DIRECTOR since 03/01/2015
PAYNE, KATHI (Individual) DIRECTOR since 02/01/2015
RODE, BARBARA (Individual) OFFICER since 07/24/2000
SCHALTZ, JENNIFER (Individual) DIRECTOR since 06/01/2008
ST. THERESE FOUNDATION, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/02/2013
SUTHERLAND, MARCIA (Individual) DIRECTOR since 03/01/2015
TAFFE, PATRICK (Individual) DIRECTOR since 12/01/2013
THOLE, SHARON (Individual) OFFICER since 02/06/2017
TIPLER, KARRIE (Individual) MANAGING EMPLOYEE since 08/31/2015
TOWNES, CHARLES (Individual) DIRECTOR since 12/01/2011
VARPNESS, MICHAEL (Individual) DIRECTOR since 06/27/2012
VOGEL, PAUL (Individual) DIRECTOR since 12/01/2012
WARDEN, MICHAEL (Individual) OFFICER since 12/18/2006
WORNSON, KATHRYN (Individual) DIRECTOR since 06/01/2013

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