St Lukes Home
242 10th St W, Dickinson, ND 58601


St Lukes Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 355063. The address is 242 10th St W, Dickinson, ND 58601. The zip code is 58601. The phone number is 7014835000.


St Lukes Home · 242 10th St W, Dickinson, ND 58601

Federal Provider Number 355063
Provider Name ST LUKES HOME
Address 242 10TH ST W
DICKINSON, ND 58601
Phone Number 7014835000
SSA County Code 440
County Name Stark
Ownership Type Non profit - Corporation
Certified Beds 88
Certified Beds Residents 84
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ST. LUKE'S HOME
Date First Approved to Provide Medicare Medicaid Services 07/01/1978
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 4
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 3.56369
Reported LPN Staffing Hours per Resident per Day 0.49345
Reported RN Staffing Hours per Resident per Day 1.08155
Reported Licensed Staffing Hours per Resident per Day 1.575
Reported Total Nurse Staffing Hours per Resident per Day 5.13869
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00952
Expected CNA Staffing Hours per Resident per Day 2.58941
Expected LPN Staffing Hours per Resident per Day 0.58301
Expected RN Staffing Hours per Resident per Day 0.83319
Expected Total Nurse Staffing Hours per Resident per Day 4.00561
Adjusted CNA Staffing Hours per Resident per Day 3.37692
Adjusted LPN Staffing Hours per Resident per Day 0.7025
Adjusted RN Staffing Hours per Resident per Day 0.96992
Adjusted Total Nurse Staffing Hours per Resident per Day 5.17114
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 01/05/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 19
Cycle 2 Number of Standard Health Deficiencies 19
Cycle 2 Health Deficiency Score 92
Cycle 2 Standard Health Survey Date 01/25/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 92
Cycle 3 Total Number of Health Deficiencies 16
Cycle 3 Number of Standard Health Deficiencies 13
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 88
Cycle 3 Standard Health Survey Date 12/04/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 88
Total Weighted Health Survey Score 59.333
Number of Substantiated Complaints 6
Number of Fines 1
Total Amount of Fines in Dollars $3551.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · St Lukes Home

Owner Name Role Association Date
ALBRECHT, RANDAL (Individual) OFFICER since 02/01/2015
FIELDS, JANICE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
FOX, CRYSTAL (Individual) MANAGING EMPLOYEE since 03/11/2015
HAAS, CARL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
KULLING, MATTHEW (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
MACK, VALERIE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
ORAW, CALVIN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
OZBUN, JIM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
PRIEBE, TIMOTHY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
REICHERT, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/11/2015
ST. LUKE'S HOME (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/25/2009

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