Provider Name: GRIGGS COUNTY CARE CENTER
Address: 107 12TH ST S, COOPERSTOWN, ND 58425
Phone: (701) 797-2221
County: Griggs (190)
Ownership Type: Non profit - Corporation
Certified Beds: 40
Average Residents Per Day: 35.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: GRIGGS COUNTY NURSING HOME
First Approved Date: April 1, 1978
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 2 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: (2)
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.74915, LPN Staff Hours Per Day: 0.6639, RN Staff Hours Per Day: 0.7740, Licensed Staff Hours Per Day: 1.4379
Total Nurse Staff Hours Per Day, per resident: 4.18711
Weekend Nurse Staff Hours: 3.21792, Weekend RN Staff Hours: 0.4825
PT Staff Hours Per Day, per resident: 0.0145
Nurse Staff Turnover: 48.8, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0761, Case Mix LPN Hours Per Day: 0.6443, Case Mix RN Hours Per Day: 0.2861
Adjusted Nurse Aide Hours Per Day, per resident: 2.69769, Adjusted LPN Hours Per Day: 0.7604, Adjusted RN Hours Per Day: 1.0192
Total Adjusted Nurse Hours Per Day, per resident: 4.38967
Adjusted Weekend Nurse Hours Per Day, per resident: 3.37359
Health Survey Dates and Scores: Cycle 1: 2023-09-13 (Score: 24), Cycle 2: 2022-06-02 (Score: 0), Cycle 3: 2021-04-21 (Score: 4)
Total Weighted Health Score: 12.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 107 12TH ST S,COOPERSTOWN,ND,58425 (47.4393, -98.119)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-12-28
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-05
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-13
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: