Provider Name: EVENTIDE FARGO
Address: 3225 51ST ST S, FARGO, ND 58104
Phone: (701) 478-1800
County: Cass (080)
Ownership Type: Non profit - Corporation
Certified Beds: 98
Average Residents Per Day: 95.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: EVENTIDE FARGO LLC
First Approved Date: May 25, 2016
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: 4 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.96689, LPN Staff Hours Per Day: 1.0329, RN Staff Hours Per Day: 0.7692, Licensed Staff Hours Per Day: 1.8021
Total Nurse Staff Hours Per Day, per resident: 4.76901
Weekend Nurse Staff Hours: 4.39840, Weekend RN Staff Hours: 0.3970
PT Staff Hours Per Day, per resident: 0.0430
Nurse Staff Turnover: 47.9, Nurse Turnover Note:
RN Turnover: 50.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2285, Case Mix LPN Hours Per Day: 0.7016, Case Mix RN Hours Per Day: 0.3072
Adjusted Nurse Aide Hours Per Day, per resident: 2.71219, Adjusted LPN Hours Per Day: 1.0863, Adjusted RN Hours Per Day: 0.9435
Total Adjusted Nurse Hours Per Day, per resident: 4.64323
Adjusted Weekend Nurse Hours Per Day, per resident: 4.28240
Health Survey Dates and Scores: Cycle 1: 2023-08-31 (Score: 28), Cycle 2: 2022-06-09 (Score: 0), Cycle 3: 2021-03-25 (Score: 4)
Total Weighted Health Score: 14.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 3225 51ST ST S,FARGO,ND,58104 (46.8547, -96.871)
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 2023-12-01
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 2023-09-24
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 2023-09-24
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such 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 2021-04-29
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: