St Lukes Sunrise Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 355111. The address is 705 Se 4th St, Crosby, ND 58730. The zip code is 58730. The phone number is 7019656086.
Federal Provider Number | 355111 |
Provider Name | ST LUKES SUNRISE CARE CENTER |
Address | 705 SE 4TH ST CROSBY, ND 58730 |
Phone Number | 7019656086 |
SSA County Code | 110 |
County Name | Divide |
Ownership Type | Non profit - Other |
Certified Beds | 40 |
Certified Beds Residents | 38 |
Provider Type | Medicare and Medicaid |
Resides in Hospital | false |
Legal Business Name | ST. LUKE'S HOSPITAL |
Date First Approved to Provide Medicare Medicaid Services | 11/01/1991 |
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 | 2 |
Health Inspection Rating | 1 |
Quality Measure Rating | 3 |
Staffing Rating | 5 |
RN Staffing Rating | 5 |
Reported CNA Staffing Hours per Resident per Day | 2.76711 |
Reported LPN Staffing Hours per Resident per Day | 0.36842 |
Reported RN Staffing Hours per Resident per Day | 0.70526 |
Reported Licensed Staffing Hours per Resident per Day | 1.07368 |
Reported Total Nurse Staffing Hours per Resident per Day | 3.84079 |
Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04474 |
Expected CNA Staffing Hours per Resident per Day | 2.10548 |
Expected LPN Staffing Hours per Resident per Day | 0.5511 |
Expected RN Staffing Hours per Resident per Day | 0.71167 |
Expected Total Nurse Staffing Hours per Resident per Day | 3.36825 |
Adjusted CNA Staffing Hours per Resident per Day | 3.22475 |
Adjusted LPN Staffing Hours per Resident per Day | 0.55487 |
Adjusted RN Staffing Hours per Resident per Day | 0.74047 |
Adjusted Total Nurse Staffing Hours per Resident per Day | 4.59641 |
Cycle 1 Total Number of Health Deficiencies | 16 |
Cycle 1 Number of Standard Health Deficiencies | 16 |
Cycle 1 Health Deficiency Score | 68 |
Cycle 1 Standard Survey Health Date | 08/10/2016 |
Cycle 1 Number of Health Revisits | 1 |
Cycle 1 Total Health Score | 68 |
Cycle 2 Total Number of Health Deficiencies | 9 |
Cycle 2 Number of Standard Health Deficiencies | 9 |
Cycle 2 Health Deficiency Score | 60 |
Cycle 2 Standard Health Survey Date | 08/20/2015 |
Cycle 2 Number of Health Revisits | 1 |
Cycle 2 Total Health Score | 60 |
Cycle 3 Total Number of Health Deficiencies | 8 |
Cycle 3 Number of Standard Health Deficiencies | 8 |
Cycle 3 Health Deficiency Score | 44 |
Cycle 3 Standard Health Survey Date | 07/17/2014 |
Cycle 3 Number of Health Revisits | 1 |
Cycle 3 Total Health Score | 44 |
Total Weighted Health Survey Score | 61.333 |
Total Amount of Fines in Dollars | $0.00 |
Processing Date | 08/01/2017 |
Owner Name | Role | Association Date |
---|---|---|
BUMMER, JOSHUA (Individual) | DIRECTOR | since 11/09/2016 |
CASTEEL, DIANE (Individual) | DIRECTOR | since 11/01/2016 |
ELY, WANDA (Individual) | DIRECTOR | since 05/13/2013 |
HOLM, MARK (Individual) | DIRECTOR | since 11/01/2016 |
JOHNSON, PHILIP (Individual) | DIRECTOR | since 11/01/2016 |
NELSON, JODY (Individual) | MANAGING EMPLOYEE | since 09/01/2016 |
NELSON, JODY (Individual) | OFFICER | since 09/01/2016 |
NELSON, JODY (Individual) | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2016 |
SCHILKE, ART (Individual) | DIRECTOR | since 05/13/2013 |
SCHUMACHER, LUCAS (Individual) | DIRECTOR | since 08/11/2015 |
SIMONSON, SANDRA (Individual) | DIRECTOR | since 05/13/2013 |
THRONVEIT, DEAN (Individual) | DIRECTOR | since 05/13/2013 |
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