Southside Care Center
2644 Aldrich Avenue South, Minneapolis, MN 55408


Southside Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 24E507. The address is 2644 Aldrich Avenue South, Minneapolis, MN 55408. The zip code is 55408. The phone number is 6128724233.


Southside Care Center · 2644 Aldrich Avenue South, Minneapolis, MN 55408

Federal Provider Number 24E507
Provider Name SOUTHSIDE CARE CENTER
Address 2644 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55408
Phone Number 6128724233
SSA County Code 260
County Name Hennepin
Ownership Type For profit - Individual
Certified Beds 17
Certified Beds Residents 16
Provider Type Medicaid
Resides in Hospital false
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 01/26/1978
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 1.34122
Expected LPN Staffing Hours per Resident per Day 0.44689
Expected RN Staffing Hours per Resident per Day 0.62156
Expected Total Nurse Staffing Hours per Resident per Day 2.40967
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Health Deficiency Score 163
Cycle 1 Standard Survey Health Date 05/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 163
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 04/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 02/13/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 105.5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Southside Care Center

Owner Name Role Association Date
() Ownership Data Not Available

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