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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