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Luther Memorial Home

Summary: Luther Memorial Home is located in Mayville, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-06-01. It currently has 99 certified beds and 98 residents in the certified beds. Luther Memorial Home earned a 5-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Luther Memorial Home

Nursing Home Profile
Address 750 MAIN ST E, Mayville, ND 58257
Phone 701-786-3401
Number Certified Beds / Residents in Certified Beds 99 / 98
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★★ (5)  
Health Inspection Rating ★★★★★ (5)
Quality Rating ★★ ☆☆☆ (2)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★ (4)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 3.28010
Reported LPN Staffing Hours per Resident per Day 0.39337
Reported RN Staffing Hours per Resident per Day 0.60510
Reported Licensed Staffing Hours per Resident per Day 0.99847
Reported Total Nurse Staffing Hours per Resident per Day 4.27857
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00306
Expected CNA Staffing Hours per Resident per Day 2.32670
Expected LPN Staffing Hours per Resident per Day 0.54912
Expected RN Staffing Hours per Resident per Day 0.72757
Expected Total Nurse Staffing Hours per Resident per Day 3.60339
Adjusted CNA Staffing Hours per Resident per Day 3.45914
Adjusted LPN Staffing Hours per Resident per Day 0.59458
Adjusted RN Staffing Hours per Resident per Day 0.62143
Adjusted Total Nurse Staffing Hours per Resident per Day 4.78619
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 2014-07-16
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Survey Health Date 2013-07-11
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Survey Health Date 2012-06-14
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 4
Total Weighted Health Survey Score 10.000
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 1978-06-01
Provider Resides in Hospital NO
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%
Ulrich, BrettOperational/managerial ControlIndividualn/a
Winger, JulieOperational/managerial ControlIndividualn/a
Bakkum, JonathanDirectorIndividualn/a
Fugleberg, VickiDirectorIndividualn/a
Kyllo, KevinDirectorIndividualn/a
Mortenson, RandyDirectorIndividualn/a
Nelson, InezDirectorIndividualn/a
Osland, DouglasDirectorIndividualn/a
Thoreson, TerryDirectorIndividualn/a
Johnson, AllisonOfficerIndividualn/a
Voltz, JeffOfficerIndividualn/a
Winger, JulieOfficerIndividualn/a
Ulrich, BrettManaging EmployeeIndividualn/a