Providence Place
Providence Place Information
| Facility Name | Providence Place |
| Location | 3720 23rd Avenue South, Minneapolis, MN 55407 |
| County (SSA Code) | Hennepin (260) |
| Phone Number | 612-238-2545 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 190 |
| Average Number of Residents | 167.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | SENIOR CARE PROVIDENCE, LLC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1984-05-29 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.05031 |
| Reported LPN Staffing Hours per Resident per Day | 0.44897 |
| Reported RN Staffing - Hours per Resident per Day | 1.03118 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.48015 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.53046 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07223 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.94332 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65799 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30152 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.90283 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.87751 |
| Total Weighted Health Survey Score for three cycles | 44.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-21 |
| Rating cycle 1 - Health Deficiency Score | 11 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-04 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-12-08 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |