Interlude
Interlude Information
| Facility Name | Interlude |
| Location | 2775 Campus Drive North, Plymouth, MN 55441 |
| County (SSA Code) | Hennepin (260) |
| Phone Number | 763-577-3400 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 39.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| 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 | None |
| Provider Business Name | PHS WESTHEALTH INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2015-04-08 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.52342 |
| Reported LPN Staffing Hours per Resident per Day | 0.57966 |
| Reported RN Staffing - Hours per Resident per Day | 2.8554 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 3.43506 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.95849 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 1.01421 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.18645 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.77841 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.37456 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33942 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.68864 |
| Total Weighted Health Survey Score for three cycles | 9.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-21 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-19 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-10 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| 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 |