Norris Square is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #245637. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 6993 80th Street South, Cottage Grove, MN 55016.
| Federal Provider Number | 245637 |
| Provider Name | NORRIS SQUARE |
| Legal Business Name | CG CARE CENTER LLC |
| Address |
6993 80th Street South Cottage Grove MN 55016 |
| County | Washington |
| Telephone | 6517696650 |
| Ownership Type | Non profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 2019-05-13 |
| Number of Certified Beds | 78 |
| Average Number of Residents per Day | 42.4 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Health Inspection Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Quality Measure Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Long Stay Quality Measure Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Short Stay Quality Measure Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Staffing Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Registered Nurses Staffing Rating Footnote | Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. |
| Reported CNA Staffing Hours per Resident per Day | 2.30133 |
| Reported LPN Staffing Hours per Resident per Day | 0.14490 |
| Reported RN Staffing Hours per Resident per Day | 2.13798 |
| Reported Licensed Staffing Hours per Resident per Day | 2.28288 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.58421 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.21742 |
| Expected CNA Staffing Hours per Resident per Day | 2.20293 |
| Expected LPN Staffing Hours per Resident per Day | 0.65415 |
| Expected RN Staffing Hours per Resident per Day | 0.26602 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.12310 |
| Rating Cycle 1 Standard Survey Health Date | 2019-05-02 |
| Number of Facility Reported Incidents | 1 |
| Number of Substantiated Complavarchars | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PRESBYTERIAN HOMES AND SERVICES | Organization | 100% | since 07/25/2017 |
| 5% OR GREATER MORTGAGE INTEREST | TCF INVESTMENTS MANAGEMENT, INC. | Organization | since 08/17/2017 | |
| 5% OR GREATER SECURITY INTEREST | TCF INVESTMENTS MANAGEMENT, INC. | Organization | since 08/17/2017 | |
| DIRECTOR | HAGSTROM, WILLIAM | Individual | since 03/06/2018 | |
| DIRECTOR | LINDH, DANIEL | Individual | since 02/09/2016 | |
| DIRECTOR | MEYER, MARK | Individual | since 02/09/2016 | |
| MANAGING EMPLOYEE | VAN VOOREN, BENJAMIN | Individual | since 10/02/2016 | |
| OFFICER | LINDH, DANIEL | Individual | since 02/09/2016 | |
| OFFICER | MEYER, MARK | Individual | since 02/09/2016 | |
| OPERATIONAL/MANAGERIAL CONTROL | PHS MANAGEMENT, LLC | Organization | since 08/17/2017 |
| Street Address |
6993 80TH STREET SOUTH |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Coast Fork Nursing Center Inc | 515 Grant Street, Cottage Grove, OR 97424 | 5419425528 | 1982-06-22 | 2 |
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| The Birches At Trillium Woods · Lcs-Westminster Partnership V LLP | 14585 59th Avenue North, Plymouth, MN 55446 | 7637449400 | 2015-09-30 | 5 |
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| Good Samaritan Society - Westbrook · The Evangelical Lutheran Good Samaritan Society | 149 First Street, Box 218, Westbrook, MN 56183 | 5072746155 | 1992-01-01 | 4 |
| The Villa At Osseo · Villa At Osseo LLC | 501 Second Street Southeast, Osseo, MN 55369 | 7637621800 | 2016-03-10 | 3 |
| Presbyterian Homes of North Oaks Inc | 5919 Centerville Road, North Oaks, MN 55127 | 6517654000 | 2006-08-02 | 5 |
| Auburn Manor | 501 Oak Street, Chaska, MN 55318 | 9524489303 | 1992-08-01 | 4 |
| St Therese of Woodbury LLC · St. Therese of Woodbury, LLC | 7555 Bailey Road, Woodbury, MN 55129 | 6512099100 | 2016-09-08 | 5 |
| Folkestone · Wayzata Bay Senior Housing Inc | 100 Promenade Avenue, Wayzata, MN 55391 | 9522492400 | 2014-06-06 | 5 |
| Sunnyside Care Center · Sunnyside Nursing Home | 16561 Us Highway 10, Lake Park, MN 56554 | 2182385944 | 1992-02-01 | 5 |
| Lifecare Greenbush Manor · Lifecare Medical Center | 19120 200th Street, Greenbush, MN 56726 | 2184632500 | 2009-04-13 | 4 |
| Find all nursing homes in the state of MN | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Rich Square Nursing & Rehab · Rich Square Operations LLC | 300 North Main Street, Rich Square, NC 27869 | 2525394161 | 1991-02-19 | 1 |
| Norris Health and Rehabilitation Center · Ssc Andersonville Operating Company LLC | 3382 Andersonville Highway, Andersonville, TN 37705 | 8654940986 | 1992-12-01 | 5 |
| Lecom At Village Square, LLC · Lecom At Village Square LLC | 149 West 22nd Street, Erie, PA 16502 | 8144523271 | 1984-07-16 | 3 |
| Washington Square Healthcare Center · Harbor Operator LLC | 202 Washington Street Nw, Warren, OH 44483 | 3303998997 | 1990-03-22 | 5 |
| Savannah Square Health Center · Snh Georgia Tenant LLC | 1 Savannah Square Drive, Savannah, GA 31406 | 9129277550 | 1988-12-31 | 4 |
| Regency Square Care Center · Rvp Enterprises Inc. | 3501 Dakota Avenue, South Sioux City, NE 68776 | 4024944273 | 1986-07-01 | 5 |
| Market Square Health Care Center, LLC · Market Square Health Care Center LLC | 3 Market Square, South Paris, ME 04281 | 2077437086 | 1992-04-01 | 4 |
| Heritage Square Healthcare Center · Chc Heritage Square Nursing Center, LLC | 710 No Ruddle Road, Blytheville, AR 72316 | 8707633654 | 2001-04-19 | 4 |
| Meridian Care At Grayson Square · Rj Meridian Care of San Antonio III LLC | 815 E Grayson St, San Antonio, TX 78208 | 2102268181 | 1996-07-23 | 1 |
| Bishop Rehabilitation and Nursing Center · Clinton Square Operations LLC | 918 James Street, Syracuse, NY 13203 | 3154741561 | 1971-11-14 | 1 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.