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Mountrail Bethel Home

Summary: Mountrail Bethel Home is located in Stanley, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-06-01. It currently has 52 certified beds and 46 residents in the certified beds. Mountrail Bethel Home earned a 3-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Mountrail Bethel Home

Nursing Home Profile
Address 615 6TH ST SE, Stanley, ND 58784
Phone 701-628-2442
Number Certified Beds / Residents in Certified Beds 52 / 46
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★ ☆☆ (3)  
Health Inspection Rating ★★ ☆☆☆ (2)
Quality Rating ★★★ ☆☆ (3)
Staffing Rating ★★★★★ (5)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 3.17391
Reported LPN Staffing Hours per Resident per Day 0.90978
Reported RN Staffing Hours per Resident per Day 0.92391
Reported Licensed Staffing Hours per Resident per Day 1.83370
Reported Total Nurse Staffing Hours per Resident per Day 5.00760
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15543
Expected CNA Staffing Hours per Resident per Day 2.29109
Expected LPN Staffing Hours per Resident per Day 0.66681
Expected RN Staffing Hours per Resident per Day 0.89051
Expected Total Nurse Staffing Hours per Resident per Day 3.84841
Adjusted CNA Staffing Hours per Resident per Day 3.39918
Adjusted LPN Staffing Hours per Resident per Day 1.13243
Adjusted RN Staffing Hours per Resident per Day 0.77523
Adjusted Total Nurse Staffing Hours per Resident per Day 5.24506
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 2014-08-06
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Survey Health Date 2013-08-15
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Survey Health Date 2012-08-16
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 52
Total Weighted Health Survey Score 50.000
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 1
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 - Church related
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%
Aas, GordonDirectorIndividualn/a
Evans, ArdisDirectorIndividualn/a
Evans, WayneDirectorIndividualn/a
Grant, RobertDirectorIndividualn/a
Leupp, MitchDirectorIndividualn/a
Leupp, MitchManaging EmployeeIndividualn/a