Provider Name: FARGO ELIM HEALTH CARE CENTER
Address: 3534 UNIVERSITY DRIVE S, FARGO, ND 58104
Phone: (701) 271-1862
County: Cass (080)
Ownership Type: Non profit - Corporation
Certified Beds: 88
Average Residents Per Day: 78.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: ELIM HOMES INC
First Approved Date: October 10, 2022
Affiliated Entity: CASSIA (120)
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: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.29186, LPN Staff Hours Per Day: 0.9524, RN Staff Hours Per Day: 0.7313, Licensed Staff Hours Per Day: 1.6837
Total Nurse Staff Hours Per Day, per resident: 4.97562
Weekend Nurse Staff Hours: 4.33976, Weekend RN Staff Hours: 0.3842
PT Staff Hours Per Day, per resident: 0.0427
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1910, Case Mix LPN Hours Per Day: 0.7033, Case Mix RN Hours Per Day: 0.3563
Adjusted Nurse Aide Hours Per Day, per resident: 3.06085, Adjusted LPN Hours Per Day: 0.9992, Adjusted RN Hours Per Day: 0.7733
Total Adjusted Nurse Hours Per Day, per resident: 4.82456
Adjusted Weekend Nurse Hours Per Day, per resident: 4.20801
Health Survey Dates and Scores: Cycle 1: 2023-12-20 (Score: 16), Cycle 2: 2022-10-04 (Score: 8), Cycle 3: (Score: .)
Total Weighted Health Score: 12.800
Reported Incidents: 0, Substantiated Complaints: 1
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: 3534 UNIVERSITY DRIVE S,FARGO,ND,58104 (46.8260, -96.803)
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: Allow residents to self-administer drugs if determined clinically appropriate.
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 2024-01-24
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Past Non-Compliance on 2023-12-20
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: Past Non-Compliance on 2023-12-20
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 2024-01-24
Type: Health, Deficiency: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 2022-10-05
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: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
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 2022-10-10
Type: Fire Safety, Tag: 0347, Version: New
Description: Properly provide smoke detection systems in areas open to corridors.
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 2022-10-10
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
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 2022-10-10