Provider Name: SMP HEALTH - AVE MARIA
Address: 501 19TH ST NE, JAMESTOWN, ND 58401
Phone: (701) 252-5660
County: Stutsman (460)
Ownership Type: Non profit - Church related
Certified Beds: 100
Average Residents Per Day: 94.6 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
First Approved Date: October 1, 1978
Affiliated Entity: SMP HEALTH (476)
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: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.44839, LPN Staff Hours Per Day: 0.3628, RN Staff Hours Per Day: 0.9196, Licensed Staff Hours Per Day: 1.2825
Total Nurse Staff Hours Per Day, per resident: 4.73090
Weekend Nurse Staff Hours: 3.93227, Weekend RN Staff Hours: 0.4364
PT Staff Hours Per Day, per resident: 0.0527
Nurse Staff Turnover: 46.2, Nurse Turnover Note:
RN Turnover: 23.8, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0689, Case Mix LPN Hours Per Day: 0.6483, Case Mix RN Hours Per Day: 0.2786
Adjusted Nurse Aide Hours Per Day, per resident: 3.39557, Adjusted LPN Hours Per Day: 0.4130, Adjusted RN Hours Per Day: 1.2435
Total Adjusted Nurse Hours Per Day, per resident: 4.97739
Adjusted Weekend Nurse Hours Per Day, per resident: 4.13715
Health Survey Dates and Scores: Cycle 1: 2023-10-12 (Score: 8), Cycle 2: 2022-09-29 (Score: 8), Cycle 3: 2021-08-05 (Score: 132)
Total Weighted Health Score: 28.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 26175.50, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 501 19TH ST NE,JAMESTOWN,ND,58401 (46.9281, -98.703)
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: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2023-11-16
Type: Health, Deficiency: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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 2023-11-16
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 2022-11-03
Type: Health, Deficiency: Provide medically-related social services to help each resident achieve the highest possible quality of life.
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 2021-05-04
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: Past Non-Compliance on 2021-08-19
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
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 2021-08-24
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-24
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:
Type: Fire Safety, Tag: 0347, Version: New
Description: Properly provide smoke detection systems in areas open to corridors.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-11-25
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
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 2021-08-18