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Eventide Heartland

Summary: Eventide Heartland is located in Devils Lake, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-07-01. It currently has 82 certified beds and 81 residents in the certified beds. Eventide Heartland 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 Eventide Heartland

Nursing Home Profile
Address 620 14TH AVE NE, Devils Lake, ND 58301
Phone 701-662-4905
Number Certified Beds / Residents in Certified Beds 82 / 81
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★ (4)  
Health Inspection Rating ★★★ ☆☆ (3)
Quality Rating ★★★ ☆☆ (3)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★ (4)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 3.21358
Reported LPN Staffing Hours per Resident per Day 0.68704
Reported RN Staffing Hours per Resident per Day 0.69877
Reported Licensed Staffing Hours per Resident per Day 1.38580
Reported Total Nurse Staffing Hours per Resident per Day 4.59939
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02037
Expected CNA Staffing Hours per Resident per Day 2.50272
Expected LPN Staffing Hours per Resident per Day 0.62461
Expected RN Staffing Hours per Resident per Day 0.90512
Expected Total Nurse Staffing Hours per Resident per Day 4.03246
Adjusted CNA Staffing Hours per Resident per Day 3.15063
Adjusted LPN Staffing Hours per Resident per Day 0.91295
Adjusted RN Staffing Hours per Resident per Day 0.57685
Adjusted Total Nurse Staffing Hours per Resident per Day 4.59761
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 20
Cycle 1 Standard Survey Health Date 2015-03-25
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 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Survey Health Date 2014-04-16
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Survey Health Date 2013-04-11
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 28
Total Weighted Health Survey Score 26.667
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 - Church related
Date First Approved to Provide Medicare and Medicaid 1978-07-01
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%
Lake Region Lutheran Home IncOperational/managerial ControlOrganizationn/a
Dahlsad, HerbDirectorIndividualn/a
Edwards, DennisDirectorIndividualn/a
Erickstad, JohnDirectorIndividualn/a
Matthees, MarjorieDirectorIndividualn/a
Nelson, DuaneDirectorIndividualn/a
Nolting, VernDirectorIndividualn/a
Pingree, DonDirectorIndividualn/a
Rogers, DavidDirectorIndividualn/a
Thompson, KennethDirectorIndividualn/a
Brakke, AnneOfficerIndividualn/a
Seljevold, PeterOfficerIndividualn/a
Stieha, DonOfficerIndividualn/a
Wright, LeannOfficerIndividualn/a
Hatfield, KariManaging EmployeeIndividualn/a
Riewer, JonManaging EmployeeIndividualn/a
Stubson, WadeManaging EmployeeIndividualn/a