Evansville Care Center
Evansville Care Center Information
| Facility Name | Evansville Care Center |
| Location | 649 State Street Northwest, Evansville, MN 56326 |
| County (SSA Code) | Douglas (200) |
| Phone Number | 218-948-2219 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 37 |
| Average Number of Residents | 25.2 |
| 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 | Resident |
| Provider Business Name | EVANSVILLE CARE CAMPUS LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1988-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.7269 |
| Reported LPN Staffing Hours per Resident per Day | 1.10048 |
| Reported RN Staffing - Hours per Resident per Day | 0.94257 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.04305 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.76994 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05591 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09714 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65765 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28994 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.04473 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.99468 |
| Total Weighted Health Survey Score for three cycles | 30 |
| Rating cycle 1 Standard Survey Health Date | 2019-01-11 |
| Rating cycle 1 - Health Deficiency Score | 11 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-10-05 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-12-01 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 2 |
| 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 |