Provider Name: ELM CREST MANOR
Address: 100 ELM AVE, NEW SALEM, ND 58563
Phone: (701) 843-7526
County: Morton (290)
Ownership Type: Non profit - Church related
Certified Beds: 57
Average Residents Per Day: 52.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ELM CREST MANOR
First Approved Date: November 1, 1991
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: 5 ()
Health Inspection Rating: 4 ()
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: 3.34933, LPN Staff Hours Per Day: 0.7080, RN Staff Hours Per Day: 0.7181, Licensed Staff Hours Per Day: 1.4262
Total Nurse Staff Hours Per Day, per resident: 4.77557
Weekend Nurse Staff Hours: 4.01514, Weekend RN Staff Hours: 0.4695
PT Staff Hours Per Day, per resident: 0.0693
Nurse Staff Turnover: 23.8, Nurse Turnover Note:
RN Turnover: 11.1, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.0372, Case Mix LPN Hours Per Day: 0.6139, Case Mix RN Hours Per Day: 0.2781
Adjusted Nurse Aide Hours Per Day, per resident: 3.34927, Adjusted LPN Hours Per Day: 0.8511, Adjusted RN Hours Per Day: 0.9730
Total Adjusted Nurse Hours Per Day, per resident: 5.13867
Adjusted Weekend Nurse Hours Per Day, per resident: 4.32042
Health Survey Dates and Scores: Cycle 1: 2023-11-21 (Score: 12), Cycle 2: 2022-11-03 (Score: 20), Cycle 3: 2021-07-08 (Score: 4)
Total Weighted Health Score: 13.333
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: 100 ELM AVE,NEW SALEM,ND,58563 (46.8452, -101.407)
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: 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 2023-12-12
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: 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 2023-12-12
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 2022-12-06
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2022-12-06
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2022-12-06
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 2022-12-06
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 2021-08-13
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:
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm systems.
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 2022-12-23