Provider Name: LUTHER MEMORIAL HOME
Address: 750 MAIN ST E, MAYVILLE, ND 58257
Phone: (701) 786-3401
County: Traill (480)
Ownership Type: Non profit - Corporation
Certified Beds: 70
Average Residents Per Day: 69.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LUTHER MEMORIAL HOME
First Approved Date: June 1, 1978
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.72179, LPN Staff Hours Per Day: 0.7060, RN Staff Hours Per Day: 0.8012, Licensed Staff Hours Per Day: 1.5072
Total Nurse Staff Hours Per Day, per resident: 5.22907
Weekend Nurse Staff Hours: 4.64470, Weekend RN Staff Hours: 0.5069
PT Staff Hours Per Day, per resident: 0.0010
Nurse Staff Turnover: 50.0, Nurse Turnover Note:
RN Turnover: 21.4, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9755, Case Mix LPN Hours Per Day: 0.6196, Case Mix RN Hours Per Day: 0.2635
Adjusted Nurse Aide Hours Per Day, per resident: 3.83808, Adjusted LPN Hours Per Day: 0.8409, Adjusted RN Hours Per Day: 1.1457
Total Adjusted Nurse Hours Per Day, per resident: 5.76574
Adjusted Weekend Nurse Hours Per Day, per resident: 5.12140
Health Survey Dates and Scores: Cycle 1: 2023-09-27 (Score: 4), Cycle 2: 2022-08-31 (Score: 16), Cycle 3: 2021-05-19 (Score: 16)
Total Weighted Health Score: 10.000
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: 750 MAIN ST E,MAYVILLE,ND,58257 (47.5018, -97.315)
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: 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 2023-10-31
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 2022-10-20
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
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 2022-10-20
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 2022-10-20
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 2022-10-20
Type: Health, Deficiency: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 2021-06-23
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-06-23
Type: Health, Deficiency: Keep all essential equipment working safely.
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 2021-06-23
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: