Elliot Care Home Inc
1500 Elliot Avenue South, Minneapolis, MN 55404


Elliot Care Home Inc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 24E152. The address is 1500 Elliot Avenue South, Minneapolis, MN 55404. The zip code is 55404. The phone number is 6123392291.


Elliot Care Home Inc · 1500 Elliot Avenue South, Minneapolis, MN 55404

Federal Provider Number 24E152
Provider Name ELLIOT CARE HOME INC
Address 1500 ELLIOT AVENUE SOUTH
MINNEAPOLIS, MN 55404
Phone Number 6123392291
SSA County Code 260
County Name Hennepin
Ownership Type For profit - Corporation
Certified Beds 15
Certified Beds Residents 15
Provider Type Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 04/01/1976
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 5
Staffing Rating 2
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 0.88667
Reported LPN Staffing Hours per Resident per Day 0.54333
Reported RN Staffing Hours per Resident per Day 0.42
Reported Licensed Staffing Hours per Resident per Day 0.96333
Reported Total Nurse Staffing Hours per Resident per Day 1.85
Expected CNA Staffing Hours per Resident per Day 1.26048
Expected LPN Staffing Hours per Resident per Day 0.43167
Expected RN Staffing Hours per Resident per Day 0.59726
Expected Total Nurse Staffing Hours per Resident per Day 2.2894
Adjusted CNA Staffing Hours per Resident per Day 1.72603
Adjusted LPN Staffing Hours per Resident per Day 1.0447
Adjusted RN Staffing Hours per Resident per Day 0.52544
Adjusted Total Nurse Staffing Hours per Resident per Day 3.25725
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Standard Survey Health Date 10/27/2016
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 12/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 02/12/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 4.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Elliot Care Home Inc

Owner Name Role Association Date
() Ownership Data Not Available

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