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Ave Maria Village

Summary: Ave Maria Village is located in Jamestown, North Dakota. It was first approved by Medicare and Medicaid to provide nursing home services on 1978-10-01. It currently has 100 certified beds and 99 residents in the certified beds. Ave Maria Village 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 Ave Maria Village

Nursing Home Profile
Address 501 19TH ST NE, Jamestown, ND 58401
Phone 701-252-5660
Number Certified Beds / Residents in Certified Beds 100 / 99
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★ (4)  
Health Inspection Rating ★★ ☆☆☆ (2)
Quality Rating ★★★★★ (5)
Staffing Rating ★★★★ (4)
RN Staffing Rating ★★★★ (4)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 2.93131
Reported LPN Staffing Hours per Resident per Day 0.49899
Reported RN Staffing Hours per Resident per Day 0.62475
Reported Licensed Staffing Hours per Resident per Day 1.12374
Reported Total Nurse Staffing Hours per Resident per Day 4.05505
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05556
Expected CNA Staffing Hours per Resident per Day 2.35378
Expected LPN Staffing Hours per Resident per Day 0.57013
Expected RN Staffing Hours per Resident per Day 0.80474
Expected Total Nurse Staffing Hours per Resident per Day 3.72865
Adjusted CNA Staffing Hours per Resident per Day 3.05575
Adjusted LPN Staffing Hours per Resident per Day 0.72644
Adjusted RN Staffing Hours per Resident per Day 0.58008
Adjusted Total Nurse Staffing Hours per Resident per Day 4.38376
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 64
Cycle 1 Standard Survey Health Date 2014-10-02
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 64
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Survey Health Date 2013-11-06
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Survey Health Date 2012-10-31
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 24
Total Weighted Health Survey Score 42.667
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 - Corporation
Date First Approved to Provide Medicare and Medicaid 1978-10-01
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%
Bakke, GaryDirectorIndividualn/a
Bruckbauer, MikeDirectorIndividualn/a
Bueling, KarenDirectorIndividualn/a
Dionne, MarlyssDirectorIndividualn/a
Matthees, DonaldDirectorIndividualn/a
Overn, KarenDirectorIndividualn/a
Pfeifer, MargaretDirectorIndividualn/a
Sevigny, RoseDirectorIndividualn/a
Tomlin Cichos, CarolynDirectorIndividualn/a
Alton, AaronOfficerIndividualn/a
Burchill, TimManaging EmployeeIndividualn/a