Home » North Dakota » Tioga Medical Center Ltc

Tioga Medical Center Ltc

Summary: Tioga Medical Center Ltc is located in Tioga, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-03-01. It currently has 30 certified beds and 29 residents in the certified beds. Tioga Medical Center Ltc earned a 4-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Tioga Medical Center Ltc

Nursing Home Profile
Address 810 N WELO ST, Tioga, ND 58852
Phone 701-664-3305
Number Certified Beds / Residents in Certified Beds 30 / 29
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★ (4)  
Health Inspection Rating ★★★★ (4)
Quality Rating ★★ ☆☆☆ (2)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 2.64828
Reported LPN Staffing Hours per Resident per Day 0.25517
Reported RN Staffing Hours per Resident per Day 1.17586
Reported Licensed Staffing Hours per Resident per Day 1.43103
Reported Total Nurse Staffing Hours per Resident per Day 4.07931
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03621
Expected CNA Staffing Hours per Resident per Day 2.45354
Expected LPN Staffing Hours per Resident per Day 0.55903
Expected RN Staffing Hours per Resident per Day 0.75156
Expected Total Nurse Staffing Hours per Resident per Day 3.76412
Adjusted CNA Staffing Hours per Resident per Day 2.64846
Adjusted LPN Staffing Hours per Resident per Day 0.37886
Adjusted RN Staffing Hours per Resident per Day 1.16904
Adjusted Total Nurse Staffing Hours per Resident per Day 4.36843
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 2014-10-08
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Survey Health Date 2013-09-19
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Survey Health Date 2012-09-19
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 12
Total Weighted Health Survey Score 16.000
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0
Facility Information
Ownership Non profit - Corporation
Date First Approved to Provide Medicare and Medicaid 1978-03-01
Provider Resides in Hospital YES
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
Tioga Medical CenterOperational/managerial ControlOrganizationn/a
Mickelsen, RyanOperational/managerial ControlIndividualn/a
Pederson, RandallOperational/managerial ControlIndividualn/a