SANFORD HILLSBORO CARE CENTER Nursing Home


SANFORD HILLSBORO CARE CENTER (CCN: 355061) is a Non profit - Corporation facility located in HILLSBORO, ND (58045). The facility has an overall rating of 4/5, health inspection rating of 3/5, and a staffing rating of 5/5. It offers 34 certified beds and maintains an average of 33.2 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.22716 total hours per resident per day. It has been certified since June 1, 1978 and the last listed health inspection was on June 21, 2023, The facility is located in Traill county and provides senior and nursing home care.

SANFORD HILLSBORO CARE CENTER Summary


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Provider Name: SANFORD HILLSBORO CARE CENTER

Address: 12 3RD ST SE, HILLSBORO, ND 58045

Phone: (701) 636-3235

County: Traill (480)

Ownership Type: Non profit - Corporation

Certified Beds: 34

Average Residents Per Day: 33.2 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: SANFORD HEALTH NETWORK NORTH

First Approved Date: June 1, 1978

Affiliated Entity: SANFORD HEALTH GOOD SAMARITAN (PROSPERA) (464)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 4 ()

Health Inspection Rating: 3 ()

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: 2.88426, LPN Staff Hours Per Day: 0.6791, RN Staff Hours Per Day: 0.6638, Licensed Staff Hours Per Day: 1.3429

Total Nurse Staff Hours Per Day, per resident: 4.22716

Weekend Nurse Staff Hours: 3.57849, Weekend RN Staff Hours: 0.4403

PT Staff Hours Per Day, per resident: 0.0453

Nurse Staff Turnover: 56.9, Nurse Turnover Note:

RN Turnover: 14.3, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 1.8085, Case Mix LPN Hours Per Day: 0.5912, Case Mix RN Hours Per Day: 0.2555

Adjusted Nurse Aide Hours Per Day, per resident: 3.24893, Adjusted LPN Hours Per Day: 0.8476, Adjusted RN Hours Per Day: 0.9786

Total Adjusted Nurse Hours Per Day, per resident: 5.01775

Adjusted Weekend Nurse Hours Per Day, per resident: 4.24776

Health Survey Dates and Scores: Cycle 1: 2023-06-21 (Score: 20), Cycle 2: 2022-02-17 (Score: 24), Cycle 3: 2021-01-27 (Score: 16)

Total Weighted Health Score: 20.667

Reported Incidents: 1, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 975.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 12 3RD ST SE,HILLSBORO,ND,58045 (47.4036, -97.057)

Process Date: 2024-03-01


Health Inspection Citations Details

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:

Citation on 2023-11-02

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 2023-11-07

Citation on 2022-02-17

Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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 2022-03-22

Citation on 2022-02-17

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

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 2022-03-22

Citation on 2022-02-17

Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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 2022-03-22

Citation on 2022-02-17

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

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 2022-03-18

Citation on 2022-02-17

Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.

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 2022-03-22

Citation on 2021-01-27

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

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 2021-03-03

Citation on 2021-01-27

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 2021-03-03

Citation on 2021-01-27

Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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 2021-03-03


Fire Safety Citations Details

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:

Citation on 2020-03-03

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

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 2020-03-12

Citation on 2020-03-03

Type: Fire Safety, Tag: 0347, Version: New

Description: Properly provide smoke detection systems in areas open to corridors.

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 2020-03-12