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2015 DIRECTORY LICENSED, CERTIFIED AND REGISTERED HEALTH CARE FACILITIES AND SERVICES Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900

2015 MDH Directory - Minnesota Department of Health DIRECTORY LICENSED, CERTIFIED AND REGISTERED HEALTH CARE FACILITIES AND SERVICES Minnesota Department of Health Licensing and Certification

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  • 2015 DIRECTORY

    LICENSED, CERTIFIED

    AND REGISTERED

    HEALTH CARE FACILITIES

    AND SERVICES

    Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900

  • TABLE OF CONTENTS FOREWORD

    TABLES: STATISTICAL DATA Page

    1. Licensing Classifications and Bed Capacities of Institutions and Units, March 14, 2015 ........ I

    2. Certification Classifications, March 14, 2015 ........................................................................... I

    3. Change in number of licensed inpatient facilities during the past 70 years.............................. II

    4. Hospitals: Bed Range, Ownership ............................................................................................ II

    5. Nursing Homes and Units: Bed Range, Ownership .................................................................III

    6. Nursing Homes and Units: Ownership, Percentage of Change ...............................................III

    7. Boarding Care Homes and Units: Bed Range, Ownership ..................................................... IV

    8. Boarding Care Homes and Units: Ownership, Percentage of Change.................................... IV

    9. Supervised Living Facilities and Units: Bed Range, Ownership ..............................................V

    10. Supervised Living Facilities and Units: Ownership, Percentage of Change.............................V

    11. Number of Licensed Facilities and Beds by County, March 14, 2015 ........................... VI XI

    12. Number of Facilities and Beds by County, March 14, 2015 ....................................... XII XVI

    13. Number of Certified Services by County, March 14, 2015 .......................................XVII XX

    14.

    LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location

    Number of Licensed Home Care Providers (HCP) by Classifications and County,March 14, 2015 .......................................................................................................

    XXI XXIII

    15. Number of Housing with Services Establishments by County, March 14, 2015 .. XXIV XXV

    16. Number of Licensed Facilities and Beds by County, March 14, 2015 XXVI XXVII

    FEDERAL HOSPITALS ...................................................................................................... XXVIII

    ABBREVIATIONS ..................................................................................................... XXIX XXX

    LICENSING AND CERTIFICATION INFORMATION FOR ALL HEALTH CARE FACILITIES AND SERVICES...........................................................1 522

    Boarding Care Homes ...........................................................................................................523

    Community Mental Health Centers .......................................................................................524

  • Comprehensive Outpatient Rehabilitation Facilities .............................................................524

    End Stage Renal Disease Providers .............................................................................525 526

    Licensed Home Care Providers....................................................................................527 543

    Certified Home Health Agencies ................................................................................544 545

    Licensed Hospices..................................................................................................................546

    Medicare Certified Hospices..................................................................................................547

    Hospitals ......................................................................................................................548 549

    Nursing Homes ............................................................................................................550 553

    Outpatient Occupational Therapy Providers..........................................................................554

    Outpatient Physical Therapy Providers .................................................................................554

    Outpatient Speech Therapy Providers ...................................................................................555

    Outpatient Surgical Centers .........................................................................................555 556

    Portable X-Ray Suppliers ......................................................................................................556

    Rural Health Clinics...............................................................................................................557

    Supervised Living Facilities.........................................................................................558 560

    ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES .......561 566

    INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE INDEX PAGES..................................................................................................................1 56

  • MINNESOTA DEPARTMENT OF HEALTH DIVISION OF COMPLIANCE MONITORING

    DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE

    FACILITIES & SERVICES

    March 14, 2015

    FOREWORD

    The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 14, 2015. They are listed alphabetically by county, town, and facility name. Ownership or control is indicated as follows:

    Governmental, Nonfederal Nongovernmental, Nonprofit Nongovernmental, For Profit

    State County (CNTY) City City-County (CYCO) Hospital District (DIST) or Authority

    Church Related (CHURCH) Nonprofit Corporation (NPROF) Other Nonprofit Ownership (ONPROF Tribal (TRIBAL)

    Individual (INDIV.) Partnership (PART.) Corporation (CORP.) Group (GROUP) Business Trust (TRUST) Limited Liability Co. (LIM-LIAB)

    HOSPITAL AND NURSING HOME LICENSING LAW

    Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed under the provisions of Sections 144.50 to 144.58 inclusive, Minnesota Statutes. Nursing homes are licensed under the provisions of 144A.01 - .17, inclusive, Minnesota Statutes.

    A "HOSPITAL" means an institution primarily engaged in providing, by or under the supervision of physicians, to inpatients (A) diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled or sick persons, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons.

    A "PSYCHIATRIC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under the supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons. A psychiatric wing or building of a general hospital would not be considered a psychiatric hospital.

    An "OUTPATIENT SURGICAL CENTER" means a freestanding facility organized for the specific purpose of providing elective outpatient surgery for pre-examined, pre-diagnosed, low risk patients.

    A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons. Nursing care means health evaluation and treatment of patients and residents who are not in need of an acute care facility but who require nursing supervision on an inpatient basis.

    A "BOARDING CARE HOME" provides personal or custodial care only. Examples of personal or custodial care include: Help with bathing, dressing, or other personal care; supervision of medications which can be safely self-administered; plus a program of activities and supervision required by persons who are not capable of properly caring for themselves.

    A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are intellectually disabled, adult mentally ill, chemically dependent, or physically handicapped. Services include provision of meals, lodging, housekeeping services, health services, and other services provided by either staff or residents under supervision. Class A facilities include homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation under emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory, nonambulatory, mobile or nonmobile persons who are not mentally or physically capable of taking appropriate action for self-preservation under emergency conditions as determined by program licensure provisions.

  • HOME CARE PROVIDER LICENSING LAW

    Home care providers in M innesota are licensed under the provisions of Sections 144A.43-144A.47 inclusive, Minnesota Statutes.

    A "Home Care Provider" means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery, indirectly or by contractual arrangement, of home care services for a fee. At least one home care service must be provided directly, although additional home care services may be provided by contractual arrangements.

    Types of Home Care Licenses under the 2012 Statutes and Rules:

    Class A or Professional Home Care Agency License. Provider may provide all home care services, at least one of which is nursing, physical therapy, speech therapy, o ccupational therapy, n utritional services, medical social services, home health aide tasks, or the provision of medical supplies and equipment when accompanied by the provision of a home care service. These may be provided in a place of residence, including a residential center.

    Class B or Paraprofessional Agency License. Under this license, a provider may perform home care aide tasks and home management tasks in a place of residence.

    Class C, or Individual Paraprofessional Provider License. Under this license, a provider may perform home health aide, home care aide, and home management tasks in a place of residence.

    Class F Home Care Provider License. Under this license, a provider may provide assisted living home care services solely for residents of one or more registered housing with services establishments.

    In 2013 the Minnesota legislature passed changes to the home care law that streamline the four license classes (A, B, C and F) into two types of licenses, Basic or Comprehensive, based on the level of services provided. Effective January 1, 2014, temporary Basic or Comprehensive licenses are available for new license applicants. Starting July 1, 2014, and ending June 30, 2015, all home care providers licensed by MDH prior to January 1, 2014, will transition to the new set of requirements upon their regular license renewal date. Services that may be provided under the new license types are:

    Temporary Basic Home Care Provider License. This license is given to a new home care provider who is offering services as listed below for the basic level license and has met all conditions of licensure. It is valid for one year, during which time the provider will be surveyed by the department to determine if the provider is in compliance with home care requirements. Upon successful completion of the survey, the provider will be granted a basic home care license.

    Basic Home Care Provider License. Home care services that can be provided with a basic home care license are assistive tasks provided by licensed or unlicensed personnel that include: (1) assisting with dressing, self-feeding, oral hygiene, hair care, grooming, toileting, and bathing; (2) providing standby assistance; (3) providing verbal or visual reminders to the client to take regularly scheduled medication, which includes bringing the client previously set-up medication, medication in original containers, or liquid or food to accompany the medication; (4) providing verbal or visual reminders to the client to perform regularly scheduled treatments and exercises; (5) preparing modified diets ordered by a licensed health professional; and (6) assisting with laundry, housekeeping, meal preparation, shopping, or other household chores and services if the provider is also providing at least one of the activities in clauses (1) to (5).

    Temporary Comprehensive Home Care Provider License. This license is given to a new home care provider who is offering services as listed below for the comprehensive level license and has met all conditions of licensure. It is valid for one year, during which time the provider will be surveyed by the department to determine if the provider is in compliance with home care requirements. Upon successful completion of the survey, the provider will be granted a comprehensive home care license.

    Comprehensive Home Care Provider License. Home care services that may be provided with a comprehensive home care license include any of the basic home care services and one or more of the following: (1) services of an advanced practice nurse, registered nurse, licensed practical nurse, physical therapist, respiratory therapist, occupational therapist, speech

    http:144A.43-144A.47

  • language pathologist, dietitian or nutritionist, or social worker; (2) tasks delegated to unlicensed personnel by a registered nurse or assigned by a licensed health professional within the person's scope of practice; (3) medication management services; (4) hands-on assistance with transfers and mobility; (5) assisting clients with eating when the clients have complicating eating problems as identified in the client record or through an assessment such as difficulty swallowing, recurrent lung aspirations, or requiring the use of a tube or parenteral or intravenous instruments to be fed; or (6) providing other complex or specialty health care services..

    HCP/COMP

    Medicare-Certified Home Health Agencies will have the license listed as HCP/COMP throughout the directory for this year only. This is because between July 1, 2014 and June 30, 2015, these licensees will be converting their Class A license into a Comprehensive Home Care Provider license. For more specific information and to see if the license has converted, reference the online directory at http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm.

    HOME MANAGEMENT SERVICES

    A provider performing only home management tasks must obtain a certificate of registration from the commissioner of health. Home management services include at least two of the following services: housekeeping, meal preparation, and shopping provided to a person who is unable to perform these activities due to illness, disability or physical condition.

    HOUSING WITH SERVICES ESTABLISHMENTS

    Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes. A housing with services establishment provides sleeping accommodations to one or more adult residents, at least 80 percent of which are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled health related services or two or more regularly scheduled supportive services.

    An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult residents are age 55 or older may, at its option, register as a housing with services establishment.

    Housing with services establishments that provide Assisted Living Services must meet the requirements under the provisions of Chapter 144G., Minnesota Statutes. Assisted living means a service or package of services advertised, marketed or otherwise described, offered or promoted under the phrase assisted living and which is available only to individuals residing in a registered housing with services establishment

    HOSPICE PROVIDERS

    Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted thereunder.

    A hospice provider means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill hospice patients.

    Residential hospice facility means a facility that resembles a single-family home located in a residential area that directly provides 24-hour residential and support services in a home-like setting for hospice patients as an integral part of the continuum of home care provided by a hospice.

    http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm

  • I

    DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES

    TABLE 1

    Classification and Bed Capacity: As of March 14, 2015 the number of licensed Facilities and Services and the total bed capacities were as shown in Table 1; their certification classifications were as shown in Table 2.

    Licensing Classifications, March 14, 2015

    Licensing Classifications Number of Facilities and Services Number of Beds

    Hospitals 135 16329 Bassinets 117 1,868

    Psychiatric Hospitals 1 30 Nursing Homes 374 29,451

    Boarding Care Homes 26 1,739 (Includes B.C.H. Units of Other Facilities) (7) (580)

    Supervised Living Facilities 297 5,037 Freestanding Outpatient Surgical Centers 69 N/A

    Other Specialized Hospitals 10 303 Home Care Providers 1,629 N/A

    Hospices 83 N/A

    TABLE 2 Certification Classifications, March 14, 2015

    Licensing Classifications Number of Facilities and Services Number of Beds

    Medicare

    Hospitals 60 13,264 Critical Access Hospitals 80 1,717 Psychiatric Hospital 5 243 Skilled Nursing Facilities 367 28,676 Portable X-Ray Facilities 5 ------Outpatient Occupational Therapy 27 ------Outpatient Physical Therapy 32 ------Outpatient Speech Therapy 23 Home Health Agencies 207 ------Hospices 70 ------Renal Disease Suppliers 113 -----Comprehensive Outpatient Rehabilitation Facility 1 ------Ambulatory Surgical Centers 66 ------Rural Health Clinics 87 ------Community Mental Health Centers 13 ------

    Medicaid

    Nursing Facilities I 358 28,257 Nursing Facilities II 15 930 Intermediate Care Facilities for Individuals with Intellectual Disabilities 204 1,718

    Accreditation by Approved Accrediting Organization

    Hospitals (Excluding Psychiatric Facilities) 71 ------

    TABLE 2A Housing with Services Establishments 2,225 ------

  • TABLE 3

    II

    The following table shows the change in the total number of licensed inpatient facilities and units during the past 70 years.

    January 1, 1943 March 15, 1975 March 14, 2015

    Number of Facilities

    Number of Beds

    Number of Facilities

    Number of Beds

    Number of Facilities

    Number of Beds

    Hospitals Nursing Homes and Units Boarding Care Homes Supervised Living Facilities Other *

    188 137

    72

    11,159 3,905

    1,161

    180 446 201

    88 81

    19,929 37,260

    8,188 3,733 8,152

    135 374

    26 297

    10

    16,329 29,451

    1,739 5,037

    303

    TOTALS 397 16,225 996 77,262 843 52,859 *Includes state operated specialized hospital beds.

    TABLE 4

    Hospitals: Bed Range, Total Numbers of Percentages of Hospitals and Beds; Hospitals and Beds by Ownership -March 14, 2015

    Type of Ownership

    Hospital Total Number % of Total Nonprofit Public Proprietary

    Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds

    1 24 30 499 22.2 3.1 22 363 8 136 0 0

    25 49 52 1,796 38.5 11.0 35 1,229 15 498 2 69

    50 - 99 23 1,643 17.0 10.1 21 1,468 0 0 2 175

    100 - 299 17 3,182 12.6 19.5 15 2,919 2 263 0 0

    300 + 13 9,209 9.6 56.4 12 9,209 1 0 0 0

    TOTALS 135 16,329 100.0 100.0 105 15,188 26 897 4 244

  • TABLE 5

    III

    Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -March 14, 2015

    Type of Ownership

    Nursing Home Range Total Number % of Total Nonprofit Public Proprietary

    Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

    1 - 24 5 89 1.3 .3 3 44 0 0 2 45

    25 - 49 89 3,561 23.8 12.1 50 1,992 15 600 24 969

    50 - 99 196 13,494 52.4 45.8 119 8,357 17 1,102 60 4,035

    100 - 299 81 11,285 21.7 38.3 54 7,549 4 520 23 3,216

    300 + 3 1,022 .8 3.5 1 330 1 341 1 351

    TOTALS 374 29,451 100.0 100.0 227 18,272 37 2,563 110 8,616

    TABLE 6

    Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 14, 2014 and March 14, 2015

    March 14, 2014 March 14, 2015 % of Change

    Nursing Home Units Ownership

    Homes and Units Beds

    Homes and Units Beds

    Homes and Units Beds

    Non Profit 223 18,248 227 18,272 +1.8 +0.1

    Public 38 2,623 37 2,563 -2.7 -2.3

    Subtotal, Non Profit And Public 261 20,871 264 20,835 +1.1 -0.2

    Proprietary 113 8,801 110 8,616 -2.7 -2.1

    TOTALS 374 29,672 374 29,451 0 -0.8

  • TABLE 7

    IV

    Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -March 14, 2015

    Type of Ownership

    BCH Units Range Total Number % of Total Nonprofit Public Proprietary

    Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

    1 24 6 90 23.1 5.2 0 0 0 0 6 90

    25 - 49 6 187 23.1 10.8 1 33 0 0 5 154

    50 - 99 9 613 34.6 35.3 6 397 0 0 3 216

    100 - 299 5 849 19.2 48.8 0 0 3 522 2 327

    300 + 0 0 .0 .0 0 0 0 0 0 0

    TOTALS 26 1,739 100.0 100.0 7 430 3 522 16 787

    TABLE 8

    Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 14, 2014 and March 14, 2015

    March 14, 2014 March 14, 2015 % of Change

    BCH Ownership

    Homes and Units Beds

    Homes and Units Beds

    Homes and Units Beds

    Non Profit 7 430 7 430 0 0

    Public 2 361 3 522 +33.3 +30.8

    Subtotal, Non Profit and Public 9 791 10 952 +10.0 +16.9

    Proprietary 17 826 16 787 -6.3 -5.0

    TOTALS 26 1,617 26 1,739 0 +7.0

  • TABLE 9

    V

    Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership March 14, 2015

    Type of Ownership

    SLF Range Total Number % of Total Nonprofit Public Proprietary

    Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds

    1 - 15 225 1,599 75.8 31.7 117 829 18 125 90 645

    16 - 49 57 1,428 19.2 28.4 28 726 8 192 21 510

    50 - 99 12 738 4.0 14.7 5 315 5 322 2 101

    100 - 299 1 260 .3 5.2 0 0 1 260 0 0

    300 + 2 1,012 .7 20.1 0 0 2 1,012 0 0

    TOTALS 297 5,037 100.0 100.0 150 1,870 34 1,911 113 1,256

    TABLE 10

    Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 14, 2014 and March 14, 2015

    March 14, 2014 March 14, 2015 % of Change

    SLF Ownership

    Homes and Units Beds

    Homes and Units Beds

    Homes and Units Beds

    Non Profit 149 1,831 150 1,870 +0.7 +2.1

    Public 35 1,926 34 1,911 -2.9 -0.8

    Subtotal, Non Profit 184 3,757 184 3,781 0 +0.6

    Proprietary 114 1,275 113 1,256 -0.9 -1.5

    TOTALS 298 5,032 297 5,037 -0.3 +0.1

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page VI

    Hosp.

    No.

    Psych.

    No. Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No. S.L.F-B

    No.

    Other

    No. Outpat.

    Surg.

    County

    AITKIN 1

    25

    0

    0

    1

    6

    2

    119

    0

    0

    0

    0

    0

    0

    0

    0

    0

    ANOKA 2

    546

    0

    0

    2

    74

    7

    581

    0

    0

    3

    46

    4

    70

    1

    175

    4

    BECKER 1

    87

    0

    0

    1

    16

    4

    322

    0

    0

    0

    0

    1

    9

    0

    0

    1

    BELTRAMI 1

    118

    0

    0

    1

    12

    3

    200

    0

    0

    0

    0

    0

    0

    2

    16

    0

    BENTON 0

    0

    0

    0

    0

    0

    3

    416

    0

    0

    0

    0

    1

    86

    0

    0

    0

    BIG STONE 2

    40

    0

    0

    2

    4

    2

    109

    0

    0

    0

    0

    1

    12

    0

    0

    0

    BLUE EARTH 1

    272

    0

    0

    1

    26

    5

    356

    0

    0

    1

    11

    3

    43

    0

    0

    3

    BROWN 3

    102

    0

    0

    3

    20

    4

    297

    0

    0

    2

    14

    2

    20

    0

    0

    0

    CARLTON 3

    67

    0

    0

    2

    13

    3

    212

    0

    0

    1

    40

    2

    606

    0

    0

    0

    CARVER 1

    109

    0

    0

    1

    20

    4

    249

    0

    0

    4

    41

    2

    36

    0

    0

    1

    CASS 0

    0

    0

    0

    0

    0

    2

    96

    0

    0

    0

    0

    0

    0

    0

    0

    0

    CHIPPEWA 1

    30

    0

    0

    1

    6

    2

    156

    0

    0

    1

    6

    0

    0

    0

    0

    0

    CHISAGO 1

    61

    0

    0

    1

    12

    4

    231

    0

    0

    1

    8

    2

    17

    0

    0

    0

    CLAY 0

    0

    0

    0

    0

    0

    4

    362

    0

    0

    0

    0

    1

    10

    0

    0

    0

    CLEARWATER 1

    25

    0

    0

    1

    4

    2

    86

    0

    0

    1

    12

    1

    3

    0

    0

    0

    COOK 1

    16

    0

    0

    1

    2

    1

    37

    0

    0

    0

    0

    0

    0

    0

    0

    0

    COTTONWOOD 2

    26

    0

    0

    1

    6

    3

    173

    0

    0

    1

    8

    1

    18

    0

    0

    0

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page VII

    Hosp.

    No.

    Psych.

    No. Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No. S.L.F-B

    No.

    Other

    No. Outpat.

    Surg. County

    CROW WING 2

    204

    0

    0

    2

    22

    3

    273

    0

    0

    1

    0

    2

    74

    1

    16

    1

    DAKOTA 3

    244

    0

    0

    3

    72

    10

    968

    1

    200

    8

    78

    11

    93

    0

    0

    3

    DODGE 0

    0

    0

    0

    0

    0

    2

    100

    0

    0

    0

    0

    1

    6

    0

    0

    0

    DOUGLAS 1

    127

    0

    0

    1

    14

    4

    258

    0

    0

    2

    12

    1

    6

    1

    16

    2

    FARIBAULT 1

    43

    0

    0

    1

    4

    2

    154

    0

    0

    1

    24

    0

    0

    0

    0

    0

    FILLMORE 0

    0

    0

    0

    0

    0

    6

    322

    0

    0

    0

    0

    0

    0

    0

    0

    0

    FREEBORN 1

    77

    0

    0

    1

    12

    3

    336

    1

    9

    1

    26

    2

    63

    0

    0

    0

    GOODHUE 2

    65

    0

    0

    2

    7

    7

    514

    0

    0

    0

    0

    1

    13

    0

    0

    0

    GRANT 1

    10

    0

    0

    1

    2

    1

    45

    0

    0

    0

    0

    0

    0

    0

    0

    0

    HENNEPIN 11

    5441

    1

    30

    8

    623

    51

    6144

    15

    1187

    35

    498

    36

    317

    0

    0

    24

    HOUSTON 0

    0

    0

    0

    0

    0

    4

    190

    0

    0

    0

    0

    2

    21

    0

    0

    0

    HUBBARD 1

    50

    0

    0

    1

    10

    1

    60

    0

    0

    1

    28

    1

    8

    0

    0

    0

    ISANTI 1

    86

    0

    0

    1

    15

    2

    230

    0

    0

    1

    11

    1

    6

    0

    0

    0

    ITASCA 3

    104

    0

    0

    3

    20

    4

    307

    0

    0

    0

    0

    1

    34

    0

    0

    1

    JACKSON 1

    20

    0

    0

    0

    0

    2

    100

    0

    0

    0

    0

    0

    0

    0

    0

    0

    KANABEC 1

    49

    0

    0

    1

    8

    1

    65

    0

    0

    0

    0

    0

    0

    0

    0

    0

    KANDIYOHI 1

    136

    0

    0

    1

    20

    4

    378

    0

    0

    1

    6

    4

    128

    1

    16

    2

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page VIII

    County

    Hosp.

    No.

    Psych.

    No. Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No. S.L.F-B

    No.

    Other

    No. Outpat.

    Surg.

    KITTSON 1 0 1 2 0 0 0 0 0

    15 0 0 106 0 0 0 0

    KOOCHICHING 1 0 1 2 0 1 1 0 0

    49 0 11 104 0 8 2 0

    LAC QUI PARLE 2 0 2 2 0 0 1 0 0

    32 0 4 136 0 0 6 0

    LAKE 1 0 1 2 0 0 1 0 0

    25 0 1 128 0 0 5 0

    LAKE OF THE WOODS 1 0 1 1 0 0 0 0 0

    15 0 3 36 0 0 0 0

    LESUEUR 1 0 0 3 0 0 0 0 0

    15 0 0 128 0 0 0 0

    LINCOLN 2 0 1 3 0 0 1 0 0

    44 0 1 121 0 0 8 0

    LYON 2 0 1 4 0 4 1 0 2

    74 0 8 231 0 46 6 0

    MAHNOMEN 1 0 0 1 0 0 0 0 0

    18 0 0 42 0 0 0 0

    MARSHALL 1 0 0 1 0 0 0 0 0

    12 0 0 52 0 0 0 0

    MARTIN 1 0 1 4 0 0 3 0 1

    57 0 16 211 0 0 32 0

    MCLEOD 2 0 2 3 0 0 1 0 1

    115 0 14 295 0 0 6 0

    MEEKER 1 0 1 3 0 0 0 0 0

    35 0 4 194 0 0 0 0

    MILLE LACS 1 0 1 3 0 0 0 0 0

    28 0 3 249 0 0 0 0

    MORRISON 1 0 1 3 0 0 1 0 0

    49 0 10 188 0 0 14 0

    MOWER 1 0 1 5 0 1 6 0 0

    82 0 10 257 0 8 32 0

    MURRAY 1 0 1 2 0 0 1 0 0

    25 0 2 113 0 0 18 0

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page IX

    Hosp.

    No.

    Psych.

    No.

    Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No.

    S.L.F-B

    No.

    Other

    No. Outpat.

    Surg. County

    NICOLLET 1

    17

    0

    0

    1

    0

    2

    127

    0

    0

    3

    81

    6

    678

    1

    16

    0

    NOBLES 1

    48

    0

    0

    1

    7

    4

    171

    0

    0

    0

    0

    1

    12

    0

    0

    1

    NORMAN 1

    14

    0

    0

    0

    0

    3

    151

    0

    0

    0

    0

    0

    0

    0

    0

    0

    OLMSTED 2

    2120

    0

    0

    2

    109

    7

    612

    0

    0

    3

    53

    5

    46

    1

    16

    0

    OTTER TAIL 2

    133

    0

    0

    2

    14

    9

    653

    0

    0

    1

    60

    2

    15

    1

    16

    0

    PENNINGTON 1

    36

    0

    0

    1

    10

    2

    110

    0

    0

    0

    0

    0

    0

    0

    0

    0

    PINE 1

    30

    0

    0

    1

    5

    2

    91

    0

    0

    1

    26

    2

    6

    0

    0

    0

    PIPESTONE 1

    44

    0

    0

    1

    12

    2

    150

    0

    0

    1

    21

    1

    7

    0

    0

    0

    POLK 2

    92

    0

    0

    2

    17

    6

    341

    0

    0

    0

    0

    1

    6

    0

    0

    0

    POPE 1

    34

    0

    0

    1

    4

    2

    129

    0

    0

    0

    0

    0

    0

    0

    0

    0

    RAMSEY 7

    1914

    0

    0

    4

    150

    31

    3023

    5

    206

    22

    213

    32

    309

    0

    0

    7

    RED LAKE 0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    1

    6

    0

    0

    0

    REDWOOD 1

    25

    0

    0

    1

    6

    6

    249

    1

    26

    0

    0

    3

    18

    0

    0

    0

    RENVILLE 1

    35

    0

    0

    1

    6

    5

    258

    0

    0

    1

    10

    0

    0

    0

    0

    0

    RICE 1

    49

    0

    0

    1

    10

    5

    373

    0

    0

    2

    36

    1

    6

    0

    0

    1

    ROCK 1

    28

    0

    0

    1

    5

    3

    186

    0

    0

    0

    0

    1

    6

    0

    0

    0

    ROSEAU 1

    25

    0

    0

    1

    7

    3

    149

    0

    0

    0

    0

    0

    0

    0

    0

    0

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page X

    Hosp.

    No.

    Psych.

    No. Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No. S.L.F-B

    No.

    Other

    No.

    Outpat.

    Surg. County

    SAINT LOUIS 8

    1125

    0

    0

    7

    95

    17

    1276

    1

    54

    6

    74

    9

    95

    0

    0

    3

    SCOTT 2

    142

    0

    0

    2

    24

    4

    372

    0

    0

    1

    9

    1

    52

    0

    0

    0

    SHERBURNE 1

    54

    0

    0

    1

    10

    3

    394

    0

    0

    0

    0

    3

    18

    0

    0

    0

    SIBLEY 1

    20

    0

    0

    0

    0

    3

    118

    0

    0

    1

    13

    0

    0

    0

    0

    0

    STEARNS 5

    592

    0

    0

    5

    62

    7

    447

    0

    0

    1

    18

    2

    43

    0

    0

    4

    STEELE 1

    43

    0

    0

    1

    16

    3

    186

    0

    0

    2

    21

    2

    22

    0

    0

    0

    STEVENS 1

    54

    0

    0

    1

    5

    1

    80

    0

    0

    0

    0

    1

    6

    0

    0

    0

    SWIFT 2

    46

    0

    0

    2

    5

    2

    93

    1

    19

    0

    0

    0

    0

    0

    0

    0

    TODD 2

    71

    0

    0

    2

    18

    2

    130

    0

    0

    0

    0

    0

    0

    0

    0

    0

    TRAVERSE 1

    25

    0

    0

    1

    4

    2

    90

    0

    0

    0

    0

    0

    0

    0

    0

    0

    WABASHA 2

    43

    0

    0

    2

    9

    3

    243

    1

    38

    0

    0

    0

    0

    0

    0

    0

    WADENA 1

    49

    0

    0

    1

    6

    3

    240

    0

    0

    1

    20

    1

    16

    0

    0

    0

    WASECA 1

    35

    0

    0

    0

    0

    3

    145

    0

    0

    0

    0

    0

    0

    0

    0

    0

    WASHINGTON 2

    183

    0

    0

    2

    43

    6

    624

    0

    0

    6

    83

    2

    15

    0

    0

    6

    WATONWAN 2

    50

    0

    0

    2

    13

    2

    116

    0

    0

    0

    0

    1

    13

    0

    0

    0

    WILKIN 1

    25

    0

    0

    1

    8

    1

    80

    0

    0

    0

    0

    0

    0

    0

    0

    0

    WINONA 1

    99

    0

    0

    1

    14

    4

    360

    0

    0

    1

    6

    0

    0

    0

    0

    0

  • TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015 Page XI

    Hosp.

    No.

    Psych.

    No.

    Bass.

    No.

    N.H.

    No.

    B.C.H

    No.

    S.L.F-A

    No. S.L.F-B

    No.

    Other

    No.

    Outpat.

    Surg.

    County

    WRIGHT 2

    104

    0

    0

    2

    30

    7

    480

    0

    0

    1

    40

    2

    18

    1

    16

    0

    YELLOW MEDICINE 2

    55

    0

    0

    2

    7

    3

    167

    0

    0

    2

    66

    2

    15

    0

    0

    0

    Minnesota 135

    16329

    1

    30

    117

    1868

    374

    29451

    26

    1739

    128

    1781

    183

    3256

    10

    303

    68

  • TABLE 12: Number of Facilities and Beds by County, March 14, 2015 Page XII

    Hosp.

    No.

    Beds

    CAH

    No.

    Beds

    Psych.

    No.

    Beds

    SNF

    No.

    Beds

    SNF/NF

    No.

    Beds

    NF 1

    No.

    Beds

    NF 2

    No.

    Beds

    ICF/IID

    No.

    Beds County

    AITKIN 0

    0

    1

    25

    0

    0

    0

    0

    2

    119

    0

    0

    0

    0

    0

    0

    ANOKA 2

    531

    0

    0

    1

    175

    0

    0

    6

    531

    0

    0

    0

    0

    5

    65

    BECKER 1

    87

    0

    0

    0

    0

    0

    0

    4

    322

    0

    0

    0

    0

    1

    9

    BELTRAMI 1

    89

    0

    0

    1

    16

    0

    0

    4

    247

    0

    0

    0

    0

    0

    0

    BENTON 0

    0

    0

    0

    0

    0

    0

    0

    3

    416

    0

    0

    0

    0

    0

    0

    BIG STONE 0

    0

    2

    40

    0

    0

    0

    0

    2

    109

    0

    0

    0

    0

    1

    12

    BLUE EARTH 1

    272

    0

    0

    0

    0

    0

    0

    5

    356

    0

    0

    0

    0

    4

    54

    BROWN 0

    0

    3

    65

    0

    0

    0

    0

    4

    297

    0

    0

    0

    0

    2

    8

    CARLTON 0

    0

    3

    50

    0

    0

    0

    0

    3

    212

    0

    0

    0

    0

    1

    6

    CARVER 1

    109

    0

    0

    0

    0

    0

    0

    4

    249

    0

    0

    0

    0

    6

    77

    CASS 0

    0

    1

    13

    0

    0

    0

    0

    2

    96

    0

    0

    0

    0

    0

    0

    CHIPPEWA 0

    0

    1

    25

    0

    0

    0

    0

    2

    156

    0

    0

    0

    0

    1

    6

    CHISAGO 1

    61

    0

    0

    0

    0

    0

    0

    4

    231

    0

    0

    0

    0

    2

    20

    CLAY 0

    0

    0

    0

    0

    0

    0

    0

    4

    362

    0

    0

    0

    0

    0

    0

    CLEARWATER 0

    0

    1

    25

    0

    0

    0

    0

    2

    86

    0

    0

    0

    0

    1

    15

    COOK 0

    0

    1

    16

    0

    0

    0

    0

    1

    37

    0

    0

    0

    0

    0

    0

    COTTONWOOD 0

    0

    2

    26

    0

    0

    0

    0

    3

    173

    0

    0

    0

    0

    2

    26

    CROW WING 2

    156

    1

    25

    0

    0

    0

    0

    3

    273

    0

    0

    0

    0

    0

    0

    DAKOTA 3

    230

    0

    0

    0

    0

    2

    37

    9

    931

    0

    0

    0

    0

    10

    90

  • Page XIII TABLE 12: Number of Facilities and Beds by County, March 14, 2015

    County

    DODGE

    Hosp.

    No.

    Beds

    0

    0

    CAH

    No.

    Beds

    0

    0

    Psych.

    No.

    Beds

    0

    0

    SNF

    No.

    Beds

    0

    0

    SNF/NF

    No.

    Beds

    2

    100

    NF 1

    No.

    Beds

    0

    0

    NF 2

    No.

    Beds

    0

    0

    ICF/IID

    No.

    Beds

    1

    6

    DOUGLAS 2

    143

    0

    0

    0

    0

    0

    0

    4

    258

    0

    0

    0

    0

    3

    18

    FARIBAULT 0

    0

    1

    25

    0

    0

    0

    0

    2

    154

    0

    0

    0

    0

    0

    0

    FILLMORE 0

    0

    0

    0

    0

    0

    0

    0

    6

    322

    0

    0

    0

    0

    0

    0

    FREEBORN 1

    77

    0

    0

    0

    0

    0

    0

    3

    336

    0

    0

    0

    0

    1

    31

    GOODHUE 1

    50

    1

    15

    0

    0

    0

    0

    7

    514

    0

    0

    0

    0

    1

    13

    GRANT 0

    0

    1

    10

    0

    0

    0

    0

    1

    45

    0

    0

    0

    0

    0

    0

    HENNEPIN 10

    4996

    0

    0

    1

    20

    4

    219

    47

    5613

    2

    22

    10

    734

    51

    378

    HOUSTON 0

    0

    0

    0

    0

    0

    0

    0

    4

    190

    0

    0

    0

    0

    2

    21

    HUBBARD 0

    0

    1

    25

    0

    0

    0

    0

    1

    60

    0

    0

    0

    0

    0

    0

    ISANTI 1

    72

    0

    0

    0

    0

    0

    0

    2

    230

    0

    0

    0

    0

    1

    6

    ITASCA 1

    64

    2

    40

    0

    0

    0

    0

    4

    307

    0

    0

    0

    0

    0

    0

    JACKSON 0

    0

    1

    20

    0

    0

    0

    0

    2

    100

    0

    0

    0

    0

    0

    0

    KANABEC 0

    0

    1

    25

    0

    0

    0

    0

    1

    65

    0

    0

    0

    0

    0

    0

    KANDIYOHI 1

    128

    0

    0

    1

    16

    0

    0

    4

    378

    0

    0

    0

    0

    2

    12

    KITTSON 0

    0

    1

    15

    0

    0

    0

    0

    2

    106

    0

    0

    0

    0

    0

    0

    KOOCHICHING 0

    0

    1

    25

    0

    0

    0

    0

    2

    104

    0

    0

    0

    0

    0

    0

    LAC QUI PARLE 0

    0

    2

    32

    0

    0

    0

    0

    2

    136

    0

    0

    0

    0

    1

    6

    LAKE 0

    0

    1

    25

    0

    0

    0

    0

    1

    45

    0

    0

    0

    0

    1

    5

  • TABLE 12: Number of Facilities and Beds by County, March 14, 2015 Page XIV

    County

    LAKE OF THE WOODS

    Hosp.

    No.

    Beds

    0

    0

    CAH

    No.

    Beds

    1

    15

    Psych.

    No.

    Beds

    0

    0

    SNF

    No.

    Beds

    0

    0

    SNF/NF

    No.

    Beds

    1

    36

    NF 1

    No.

    Beds

    0

    0

    NF 2

    No.

    Beds

    0

    0

    ICF/IID

    No.

    Beds

    0

    0

    LESUEUR 0

    0

    1

    15

    0

    0

    0

    0

    3

    128

    0

    0

    0

    0

    0

    0

    LINCOLN 0

    0

    2

    44

    0

    0

    0

    0

    3

    121

    0

    0

    0

    0

    1

    8

    LYON 0

    0

    2

    50

    0

    0

    0

    0

    4

    231

    0

    0

    0

    0

    3

    18

    MAHNOMEN 0

    0

    1

    15

    0

    0

    0

    0

    1

    42

    0

    0

    0

    0

    0

    0

    MARSHALL 0

    0

    1

    12

    0

    0

    0

    0

    1

    52

    0

    0

    0

    0

    0

    0

    MARTIN 1

    57

    0

    0

    0

    0

    0

    0

    4

    211

    0

    0

    0

    0

    3

    32

    MCLEOD 1

    54

    1

    25

    0

    0

    0

    0

    3

    295

    0

    0

    0

    0

    1

    6

    MEEKER 0

    0

    1

    25

    0

    0

    0

    0

    3

    194

    0

    0

    0

    0

    0

    0

    MILLE LACS 0

    0

    1

    18

    0

    0

    0

    0

    3

    249

    0

    0

    0

    0

    0

    0

    MORRISON 0

    0

    1

    25

    0

    0

    0

    0

    3

    188

    0

    0

    0

    0

    1

    14

    MOWER 1

    66

    0

    0

    0

    0

    0

    0

    5

    257

    0

    0

    0

    0

    7

    40

    MURRAY 0

    0

    1

    25

    0

    0

    0

    0

    2

    113

    0

    0

    0

    0

    1

    18

    NICOLLET 1

    16

    1

    17

    0

    0

    0

    0

    1

    79

    0

    0

    0

    0

    2

    13

    NOBLES 1

    48

    0

    0

    0

    0

    0

    0

    4

    171

    0

    0

    0

    0

    1

    12

    NORMAN 0

    0

    1

    14

    0

    0

    0

    0

    3

    151

    0

    0

    0

    0

    0

    0

    OLMSTED 2

    1974

    0

    0

    1

    16

    2

    34

    6

    578

    0

    0

    0

    0

    5

    41

    OTTER TAIL 2

    96

    1

    25

    0

    0

    0

    0

    8

    547

    0

    0

    0

    0

    1

    5

    PENNINGTON 0

    0

    1

    25

    0

    0

    0

    0

    2

    110

    0

    0

    0

    0

    0

    0

  • TABLE 12: Number of Facilities and Beds by County, March 14, 2015 Page XV

    County

    PINE

    Hosp.

    No.

    Beds

    0

    0

    CAH

    No.

    Beds

    1

    25

    Psych.

    No.

    Beds

    0

    0

    SNF

    No.

    Beds

    0

    0

    SNF/NF

    No.

    Beds

    2

    91

    NF 1

    No.

    Beds

    0

    0

    NF 2

    No.

    Beds

    0

    0

    ICF/IID

    No.

    Beds

    1

    6

    PIPESTONE 0

    0

    1

    25

    0

    0

    0

    0

    2

    150

    0

    0

    0

    0

    0

    0

    POLK 0

    0

    2

    50

    0

    0

    0

    0

    6

    341

    0

    0

    0

    0

    1

    6

    POPE 0

    0

    1

    25

    0

    0

    0

    0

    2

    129

    0

    0

    0

    0

    0

    0

    RAMSEY 7

    1867

    0

    0

    0

    0

    3

    181

    25

    2736

    0

    0

    3

    123

    41

    281

    RED LAKE 0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    1

    6

    REDWOOD 0

    0

    1

    25

    0

    0

    0

    0

    6

    249

    0

    0

    0

    0

    3

    18

    RENVILLE 0

    0

    1

    25

    0

    0

    0

    0

    5

    258

    0

    0

    0

    0

    1

    10

    RICE 1

    49

    0

    0

    0

    0

    0

    0

    5

    373

    0

    0

    0

    0

    2

    36

    ROCK 0

    0

    1

    25

    0

    0

    0

    0

    2

    101

    0

    0

    0

    0

    1

    6

    ROSEAU 0

    0

    1

    25

    0

    0

    0

    0

    3

    129

    1

    20

    0

    0

    0

    0

    SAINT LOUIS 5

    991

    3

    55

    0

    0

    0

    0

    17

    1276

    0

    0

    1

    54

    8

    47

    SCOTT 1

    93

    1

    25

    0

    0

    0

    0

    4

    372

    0

    0

    0

    0

    2

    61

    SHERBURNE 1

    54

    0

    0

    0

    0

    1

    2

    3

    392

    0

    0

    0

    0

    3

    18

    SIBLEY 0

    0

    1

    20

    0

    0

    0

    0

    3

    118

    0

    0

    0

    0

    1

    13

    STEARNS 1

    469

    4

    92

    0

    0

    0

    0

    7

    447

    0

    0

    0

    0

    1

    24

    STEELE 1

    33

    0

    0

    0

    0

    0

    0

    3

    174

    1

    12

    0

    0

    3

    28

    STEVENS 0

    0

    1

    25

    0

    0

    0

    0

    1

    80

    0

    0

    0

    0

    1

    6

    SWIFT 0

    0

    2

    40

    0

    0

    0

    0

    2

    93

    0

    0

    1

    19

    0

    0

  • TABLE 12: Number of Facilities and Beds by County, March 14, 2015 Page XVI

    County

    TODD

    Hosp.

    No.

    Beds

    0

    0

    CAH

    No.

    Beds

    2

    50

    Psych.

    No.

    Beds

    0

    0

    SNF

    No.

    Beds

    0

    0

    SNF/NF

    No.

    Beds

    2

    130

    NF 1

    No.

    Beds

    0

    0

    NF 2

    No.

    Beds

    0

    0

    ICF/IID

    No.

    Beds

    0

    0

    TRAVERSE 0

    0

    1

    25

    0

    0

    0

    0

    2

    90

    0

    0

    0

    0

    0

    0

    WABASHA 0

    0

    2

    43

    0

    0

    0

    0

    3

    243

    0

    0

    0

    0

    0

    0

    WADENA 0

    0

    1

    25

    0

    0

    0

    0

    3

    240

    0

    0

    0

    0

    0

    0

    WASECA 0

    0

    1

    25

    0

    0

    0

    0

    3

    145

    0

    0

    0

    0

    0

    0

    WASHINGTON 2

    183

    0

    0

    0

    0

    0

    0

    6

    624

    0

    0

    0

    0

    3

    18

    WATONWAN 0

    0

    2

    50

    0

    0

    0

    0

    2

    116

    0

    0

    0

    0

    1

    13

    WILKIN 0

    0

    1

    25

    0

    0

    0

    0

    1

    80

    0

    0

    0

    0

    0

    0

    WINONA 1

    88

    0

    0

    0

    0

    0

    0

    4

    360

    0

    0

    0

    0

    0

    0

    WRIGHT 2

    81

    1

    25

    0

    0

    0

    0

    7

    480

    0

    0

    0

    0

    2

    18

    YELLOW MEDICINE 0

    0

    2

    50

    0

    0

    0

    0

    3

    167

    0

    0

    0

    0

    2

    12

    Minnesota 60

    13284

    80

    1717

    5

    243

    12

    473

    358

    28203

    4

    54

    15

    930

    204

    1718

  • TABLE 13: Number of Certified Services by County, March 14, 2015 Page XVII

    County Renal

    Outpt

    PT/ST/OT CMHC XRay HHA CORF Amb

    Surg

    Hos-

    Pice

    Rural

    Clinic

    AITKIN 0 0 0 0 0 0 0 0 2

    ANOKA 7 3 0 0 5 0 4 1 0

    ARIZONA 0 0 0 0 0 0 0 0 0

    BECKER 3 0 0 0 2 0 1 0 0

    BELTRAMI 2 0 0 0 2 0 0 1 0

    BENTON 0 1 0 0 3 0 0 1 0

    BIG STONE 1 0 0 0 2 0 0 0 1

    BLUE EARTH 2 3 0 0 2 0 3 1 1

    BROWN 1 0 1 0 2 0 0 0 1

    CALIFORNIA 0 0 0 0 0 0 0 0 0

    CARLTON 0 0 0 0 1 0 0 0 1

    CARVER 1 1 0 0 1 0 1 1 0

    CASS 1 0 0 0 1 0 0 0 4

    CHIPPEWA 1 0 0 0 1 0 0 0 0

    CHISAGO 1 0 0 0 1 0 0 1 0

    CLAY 1 0 0 0 0 0 0 0 1

    CLEARWATER 0 0 0 0 1 0 0 1 3

    COLORADO 0 0 0 0 0 0 0 0 0

    COOK 0 0 0 0 1 0 0 0 0

    COTTONWOOD 0 0 0 0 1 0 0 0 3

    CROW WING 1 0 0 0 4 0 1 2 1

    DAKOTA 7 1 0 0 5 0 3 2 0

    DODGE 0 0 0 0 0 0 0 0 0

    DOUGLAS 1 0 0 0 1 0 2 2 0

    FARIBAULT 0 0 0 0 1 0 0 1 0

    FILLMORE 0 1 0 0 3 0 0 0 0

    FLORIDA 0 0 0 0 0 0 0 0 0

    FREEBORN 1 0 0 0 1 0 0 1 0

    GOODHUE 1 0 0 0 3 0 0 1 0

    GRANT 0 0 0 0 0 0 0 0 0

    HENNEPIN 23 12 0 3 38 1 21 10 0

  • TABLE 13: Number of Certified Services by County, March 14, 2015 Page XVIII

    County Renal

    Outpt

    PT/ST/OT CMHC XRay HHA CORF Amb

    Surg

    Hos-

    Pice

    Rural

    Clinic

    HOUSTON 0 0 0 0 1 0 0 0 0

    HUBBARD 1 1 0 0 0 0 0 1 1

    IOWA 0 0 0 0 0 0 0 0 0

    ISANTI 1 1 0 0 0 0 0 0 0

    ITASCA 1 1 1 0 4 0 1 0 0

    JACKSON 0 1 0 1 1 0 0 0 2

    KANABEC 1 0 0 0 1 0 0 1 0

    KANDIYOHI 1 0 1 0 4 0 2 1 0

    KITTSON 0 0 0 0 1 0 0 0 2

    KOOCHICHING 0 0 0 0 1 0 0 0 2

    LAC QUI PARLE 0 0 0 0 2 0 0 0 3

    LAKE 0 0 0 0 0 0 0 0 0

    LAKE OF THE WOODS 0 0 0 0 0 0 0 0 1

    LESUEUR 0 0 0 0 1 0 0 0 0

    LINCOLN 0 0 0 0 2 0 0 2 4

    LYON 1 0 1 0 3 0 2 1 2

    MAHNOMEN 0 0 0 0 0 0 0 0 2

    MARSHALL 0 0 0 0 0 0 0 0 1

    MARTIN 1 0 0 0 0 0 1 0 0

    MCLEOD 2 0 0 0 0 0 1 0 0

    MEEKER 1 0 0 0 1 0 0 1 1

    MILLE LACS 1 0 0 0 1 0 0 1 2

    MORRISON 1 0 1 0 2 0 0 2 4

    MOWER 0 0 0 0 1 0 0 1 0

    MURRAY 0 0 0 0 0 0 0 1 2

    NEBRASKA 0 0 0 0 0 0 0 0 0

    NEW JERSEY 0 0 0 0 0 0 0 0 0

    NICOLLET 0 0 0 0 1 0 0 0 0

    NOBLES 1 0 0 0 2 0 1 1 0

    NORMAN 0 0 0 0 0 0 0 0 3

    NORTH DAKOTA 0 0 0 0 0 0 0 0 0

  • TABLE 13: Number of Certified Services by County, March 14, 2015 Page XIX

    County Renal

    Outpt

    PT/ST/OT CMHC XRay HHA CORF Amb

    Surg

    Hos-

    Pice

    Rural

    Clinic

    OHIO 0 0 0 0 0 0 0 0 0

    OLMSTED 2 1 0 1 6 0 0 3 0

    OTTER TAIL 1 0 1 0 4 0 0 1 3

    PENNINGTON 1 0 0 0 1 0 0 0 0

    PENNSYLVANIA 0 0 0 0 0 0 0 0 0

    PINE 1 0 0 0 0 0 0 0 4

    PIPESTONE 1 0 0 0 1 0 0 1 0

    POLK 1 0 1 0 2 0 0 1 2

    POPE 0 0 0 0 2 0 0 1 1

    RAMSEY 13 2 1 0 31 0 7 7 0

    RED LAKE 0 0 0 0 0 0 0 0 2

    REDWOOD 1 0 0 0 1 0 0 1 1

    RENVILLE 0 0 0 0 1 0 0 1 3

    RICE 3 0 0 0 3 0 1 1 0

    ROCK 0 0 1 0 0 0 0 1 0

    ROSEAU 1 0 0 0 1 0 0 1 0

    SAINT LOUIS 4 2 2 0 12 0 3 3 0

    SCOTT 2 0 0 0 1 0 0 0 0

    SHERBURNE 2 0 0 0 2 0 0 1 0

    SIBLEY 0 0 0 0 2 0 0 0 4

    SOUTH DAKOTA 0 0 0 0 0 0 0 0 0

    STEARNS 2 2 1 0 8 0 4 2 5

    STEELE 1 0 0 0 1 0 0 0 0

    STEVENS 1 0 0 0 0 0 0 0 1

    SWIFT 0 0 0 0 2 0 0 0 1

    TEXAS 0 0 0 0 0 0 0 0 0

    TODD 0 0 0 0 2 0 0 0 5

    TRAVERSE 0 0 0 0 0 0 0 0 1

    WABASHA 1 0 0 0 1 0 0 0 0

    WADENA 1 0 0 0 3 0 0 2 3

    WASECA 0 0 0 0 0 0 0 0 0

  • TABLE 13: Number of Certified Services by County, March 14, 2015 Page XX

    County Renal

    Outpt

    PT/ST/OT CMHC XRay HHA CORF Amb

    Surg

    Hos-

    Pice

    Rural

    Clinic

    WASHINGTON 3 2 0 0 1 0 6 2 0

    WATONWAN 0 0 0 0 1 0 0 0 0

    WILKIN 0 0 0 0 1 0 0 1 0

    WINONA 1 0 1 0 1 0 0 1 0

    WISCONSIN 0 0 0 0 0 0 0 0 0

    WRIGHT 1 1 0 0 2 0 0 0 0

    YELLOW MEDICINE 1 0 0 0 3 0 0 0 1

    Minnesota 113 36 13 5 207 1 65 70 87

  • Page XXI

    TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015

    HCP Class A = Professional Home Care Agency BASIC = Basic Home Care

    HCP Class B = Para-Professional Agency HCP Class F = Class F Home Care Provider

    HCP Class C = Individual Para-Professional Home Mgmt = Certificate of Registration

    for Home Management COMP = Comprehensive Home Care

    County Class A Class B Class C Class F Home Mgmt Comp Basic

    AITKIN 1 0 0 1 0 2 0

    ANOKA 12 1 1 9 5 25 3

    BECKER 1 0 0 2 1 3 0

    BELTRAMI 0 0 0 5 1 8 0

    BENTON 3 0 0 2 0 6 0

    BIG STONE 0 0 0 2 0 0 0

    BLUE EARTH 4 0 0 3 1 14 1

    BROWN 1 1 0 2 0 8 1

    CARLTON 3 1 1 5 1 8 1

    CARVER 1 0 1 3 0 12 1

    CASS 0 0 0 2 1 5 0

    CHIPPEWA 0 0 0 0 1 2 0

    CHISAGO 1 0 0 6 0 2 0

    CLAY 3 0 0 3 1 7 0

    CLEARWATER 0 0 0 0 1 3 0

    COOK 0 0 0 0 0 0 0

    COTTONWOOD 0 0 0 1 0 2 0

    CROW WING 2 1 1 0 2 11 0

    DAKOTA 13 0 3 15 12 47 8

    DODGE 0 0 0 1 0 2 0

    DOUGLAS 1 0 0 7 0 7 1

    FARIBAULT 0 0 0 1 0 3 0

    FILLMORE 0 0 0 2 0 4 0

    FREEBORN 0 0 0 2 1 7 0

    GOODHUE 2 0 0 2 1 8 0

    GRANT 0 0 0 1 0 1 0

    HENNEPIN 96 8 7 46 41 183 25

    HOUSTON 0 0 0 0 0 2 0

  • Page XXII

    TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015

    County Class A Class B Class C Class F Home Mgmt Comp Basic

    HUBBARD 0 1 1 1 0 2 0

    IOWA 0 0 0 0 0 2 0

    ISANTI 3 0 0 3 1 3 3

    ITASCA 2 0 0 6 0 8 0

    JACKSON 1 0 0 0 0 4 0

    KANABEC 0 0 0 0 0 3 0

    KANDIYOHI 1 0 0 1 5 8 2

    KITTSON 0 0 0 0 0 2 0

    KOOCHICHING 1 0 0 2 0 2 0

    LAC QUI PARLE 1 0 0 0 0 2 0

    LAKE 0 0 0 3 0 1 0

    LAKE OF THE WOODS 0 0 0 0 0 1 0

    LESUEUR 0 0 0 3 1 2 0

    LINCOLN 0 0 0 0 0 0 0

    LYON 0 0 0 2 1 5 0

    MAHNOMEN 0 0 0 0 0 1 0

    MARSHALL 0 0 0 1 0 1 0

    MARTIN 0 0 0 1 0 5 0

    MCLEOD 2 0 0 0 0 7 0

    MEEKER 1 0 0 1 0 3 0

    MILLE LACS 1 0 0 2 0 4 0

    MORRISON 0 0 0 1 0 8 0

    MOWER 2 0 0 3 0 8 0

    MURRAY 0 0 0 1 0 1 0

    NICOLLET 0 0 0 2 1 5 0

    NOBLES 0 0 0 1 1 2 0

    NORMAN 0 0 0 1 0 3 0

    NORTH DAKOTA 4 0 0 0 2 2 0

    OLMSTED 7 0 0 5 7 20 1

    OTTER TAIL 5 1 0 7 1 14 0

    PENNINGTON 0 0 0 2 0 1 0

    PINE 1 1 0 2 0 4 0

  • Page XXIII

    TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015

    County Class A Class B Class C Class F Home Mgmt Comp Basic

    PIPESTONE 0 0 0 1 0 3 0

    POLK 0 0 0 1 1 7 0

    POPE 0 0 0 1 0 2 0

    RAMSEY 36 3 2 18 12 74 6

    RED LAKE 0 0 0 0 0 1 0

    REDWOOD 0 0 0 1 0 4 0

    RENVILLE 2 0 0 1 0 4 0

    RICE 0 0 0 8 0 12 0

    ROCK 0 1 0 1 0 2 0

    ROSEAU 0 0 0 0 0 5 0

    SAINT LOUIS 0 0 0 8 7 39 0

    SCOTT 4 2 1 8 1 10 1

    SHERBURNE 1 0 0 2 1 3 0

    SIBLEY 0 0 0 2 0 3 0

    SOUTH DAKOTA 2 1 0 0 0 0 0

    STEARNS 5 1 1 4 3 13 0

    STEELE 0 0 0 2 1 11 0

    STEVENS 0 0 0 0 0 1 0

    SWIFT 0 0 0 0 0 1 0

    TODD 0 1 0 0 1 2 0

    WABASHA 1 0 0 0 0 2 0

    WADENA 1 0 0 2 0 2 0

    WASECA 0 0 0 2 1 2 0

    WASHINGTON 7 1 1 11 2 26 2

    WATONWAN 0 0 0 0 0 1 0

    WILKIN 0 0 0 1 1 1 0

    WINONA 1 0 0 1 0 8 0

    WISCONSIN 0 0 0 0 1 3 0

    WRIGHT 5 0 3 3 1 10 0

    YELLOW MEDICINE 0 0 0 3 0 1 0

    Minnesota 241 25 23 255 123 769 56

  • TABLE 15: Number of HWS by County, March 14, 2015 Page XXIV

    HWS County

    AITKIN 5

    ANOKA 73

    BECKER 12

    BELTRAMI 17

    BENTON 14

    BIG STONE 3

    BLUE EARTH 19

    BROWN 13

    CARLTON 30

    CARVER 21

    CASS 10

    CHIPPEWA 12

    CHISAGO 10

    CLAY 19

    CLEARWATER 4

    COTTONWOOD 5

    CROW WING 27

    DAKOTA 153

    DODGE 5

    DOUGLAS 26

    FARIBAULT 5

    FILLMORE 10

    FREEBORN 10

    GOODHUE 16

    GRANT 2

    HENNEPIN 825

    HOUSTON 5

    HUBBARD 8

    ISANTI 6

    ITASCA 27

    JACKSON 5

    KANABEC 4

    KANDIYOHI 23

    KITTSON 2

    KOOCHICHING 6

    LAC QUI PARLE 3

    LAKE 6

    LAKE OF THE WOODS 1

    LESUEUR 5

    HWS County

    LINCOLN 4

    LYON 9

    MAHNOMEN 1

    MARSHALL 3

    MARTIN 6

    MCLEOD 15

    MEEKER 13

    MILLE LACS 7

    MORRISON 13

    MOWER 13

    MURRAY 4

    NICOLLET 9

    NOBLES 3

    NORMAN 5

    OLMSTED 40

    OTTER TAIL 38

    PENNINGTON 2

    PINE 5

    PIPESTONE 5

    POLK 12

    POPE 7

    RAMSEY 230

    RED LAKE 1

    REDWOOD 6

    RENVILLE 8

    RICE 30

    ROCK 3

    ROSEAU 5

    SAINT LOUIS 89

    SCOTT 16

    SHERBURNE 11

    SIBLEY 5

    STEARNS 28

    STEELE 11

    STEVENS 3

    SWIFT 6

    TODD 6

    TRAVERSE 1

    WABASHA 6

  • TABLE 15: Number of HWS by County, March 14, 2015 Page XXV

    HWS County

    WADENA 6

    WASECA 5

    WASHINGTON 51

    WATONWAN 2

    WILKIN 3

    WINONA 8

    WRIGHT 18

    YELLOW MEDICINE 6

    Minnesota 2225

    HWS County

  • TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2015 Page XXVI

    County ================================= ============ =

    Hospice

    No.

    Residential

    Hospices

    No.

    ANOKA 1 0

    0

    BELTRAMI 1 0

    0

    BENTON 1 0

    0

    BLUE EARTH 1 0

    0

    CARVER 1 1

    5

    CHISAGO 1 0

    0

    CLEARWATER 1 0

    0

    CROW WING 2 0

    0

    DAKOTA 2 0

    0

    DOUGLAS 2 0

    0

    FARIBAULT 1 0

    0

    FREEBORN 1 0

    0

    GOODHUE 1 0

    0

    HENNEPIN 12 4

    28

    HUBBARD 1 0

    0

    KANABEC 1 0

    0

    KANDIYOHI 2 0

    0

    County ================================= ==============

    Hospice

    No.

    Residential

    Hospices

    No.

    KITTSON 1 0

    0

    LINCOLN 2 0

    0

    LYON 2 1

    5

    MEEKER 1 0

    0

    MILLE LACS 1 0

    0

    MORRISON 2 0

    0

    MOWER 1 0

    0

    MURRAY 1 1

    4

    NOBLES 2 1

    4

    OLMSTED 3 1

    8

    OTTER TAIL 1 0

    0

    PIPESTONE 1 1

    4

    POLK 1 0

    0

    POPE 1 0

    0

    RAMSEY 7 0

    0

    REDWOOD 1 0

    0

    RENVILLE 1 0

    0

    =

  • TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2015 Page XXVII

    Residential

    Hospices

    Hospice No.

    County County No. =============================================== ===============================================

    Hospice

    No.

    Residential

    Hospices

    No.

    RICE 1 0

    0

    ROCK 1 1

    4

    ROSEAU 1 0

    0

    SAINT LOUIS 3 2

    12

    SHERBURNE 1 0

    0

    STEARNS 4 1

    8

    STEELE 0 2

    8

    WADENA 2 0

    0

    WASHINGTON 2 2

    8

    WILKIN 1 0

    0

    WINONA 1 0

    0

    Minnesota 78 18

    98

  • FEDERAL HOSPITALS *

    County - Institution City

    BELTRAMI - Red Lake Indian Hospital Red Lake

    CASS - Cass Lake Indian Hospital Cass Lake

    HENNEPIN - Veterans Administration Hospital Minneapolis

    PINE - Federal Correctional Institution Sandstone

    STEARNS - Veterans Administration Hospital St. Cloud

    OLMSTED Federal Medical Center Rochester

    Ownership

    Federal

    Federal

    Federal

    Federal

    Federal

    Federal

    * Not covered by state licensing law.

    Page XXVIII

  • ABBREVIATIONS Page XXIX

    Amb. Surg. Ambulatory Surgical Center

    Bass. Bassinets

    BASIC Basic Home Care

    BCH B oarding Care Home

    CAH Critical Access Hospital

    CMHC Community Mental Health Center

    COMP Comprehensive Home Care

    CORF Comprehensive Outpatient R ehabilitation Facility

    ESRD End Stage Renal Disease Provider

    HCP-A Professional Home Care A gency License

    HCP-B Paraprofessional Agency License

    HCP-C I ndividual Paraprofessional License

    HCP-F Class F Home Care Provider License

    HCP-M Home Management Registration

    H C P / C O MP Transitional license type for HHA (Refer to Foreword)

    HHA Home Health Agency

    Hosp. Hospital

    HSPICE Hospice

    HWS H ousing with Services Establishment

    HWSAL H ousing with Services Establishment Assisted Living

    HWS-O H ousing with Services Establishment Optional Registration

    ICF/IID Intermediate Care Facility for Individuals with Intellectual Disabilities

    NF N ursing Facility (Medicaid Certified)

    NH Nursing Home

    Other Other Specialized Hospitals

    Output OT Outpatient Occupational Therapy Provider

    Outpt. PT Outpatient Physical Therapy Provider

    Outpt. ST. O utpatient Speech Therapy Provider

    Outpt. Surg. Outpatient Surgical Center

    Port. X-Ray Portable X-Ray Supplier

    Psy. Hosp. Psychiatric Hospital

  • Page XXX RESHPC Residential Hospice

    Rural Hlth. Rural Health Clinic

    SLF S upervised L iving Facility

    SNF Medicare Skilled Nursing Facility

    SNF/NF Medicare/Medicaid Facility

    TBASIC Temporary Basic H ome Care

    TCOMP Temporary Comprehensive Home Care

  • Minnesota Department of Health Division of Compliance Monitoring Page 1

    Directory of Facilities and Services

    Facility/Service Owner Licensure Certification Registration

    ---------------------------********** AITKIN ******** -------------------------

    AICOTA HEALTH CARE CENTER Corp NH-75 SNF-NF-75

    850 SECOND STREET NORTHWEST

    AITKIN, MN 56431 (00848)

    PHONE: 218/927-2164 FAX: 218/927-6436 MS. ALISON MATALAMAKI

    AICOTA HEALTH CARE CENTER INC Corp HWSAL

    850 2ND STREET NORTHWEST

    AITKIN, MN 56431 (30585)

    PHONE: 218/927-2164 FAX: 218/927-6436 MR. BARRY FOSS

    AICOTA HEALTH CARE CENTER INC Corp COMP

    850 2ND STREET NORTHWEST

    AITKIN, MN 56431 (24776)

    PHONE: 218/927-2164 FAX: 218/927-6436 MS. ALISON MATALAMAKI

    AITKIN HEALTH SERVICES NProf NH-44 SNF-NF-44

    301 MINNESOTA AVENUE SOUTH

    AITKIN, MN 56431 (00002)

    PHONE: 218/927-5526 FAX: 218/927-8210 MS. MARIA FRIEDLUND

    GOLDEN HORIZONS Corp HWSAL

    518 SEVENTH AVE NE

    AITKIN, MN 56431 (30395)

    PHONE: 218/927-9996 FAX: 218/927-7005 MR. CHUCK LANE

    GOLDEN HORIZONS Corp HCP-F

    518 SEVENTH AVE NE

    AITKIN, MN 56431 (23660)

    PHONE: 218/927-9996 FAX: 218/927-7005 MR. JASON TODD

    MARYHILL MANOR HRA HWS

    215 3RD ST SE

    AITKIN, MN 56431 (23662)

    PHONE: 218/927-2151 FAX: 218/927-4159 MS. NANCY JOHNSON HOUG

    RIVERWOOD CLINIC AITKIN Corp RHC

    200 BUNKER HILL DRIVE

    AITKIN, MN 56431 (03734)

    PHONE: 218/927-2157 FAX: 218/927-4130 MR. MICHAEL HAGEN

    RIVERWOOD HEALTHCARE CENTER NProf HOSP-25 BASS-6 CAH-25

    200 BUNKER HILL DRIVE

    AITKIN, MN 56431 (21927)

    PHONE: 218/927-5501 FAX: 218/927-5575 MR. CHAD COOPER

    AUSTINS 24 HOUR HOME CARE Part HCP-A

    250 HENRIETTA AVENUE SW

    HILL CITY, MN 55748 (29474)

    PHONE: 218/403-0844 FAX: 218/697-2573 MS. MICHELLE PAGAN

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    CHAPPY'S GOLDEN SHORES Ind COMP

    530 PARK AVENUE

    HILL CITY, MN 55748 (21006)

    PHONE: 218/697-2705 FAX: 218/697-2573 MS. THERESA OLSON

    CHAPPYS GOLDEN SHORES Ind HWSAL

    530 PARK AVENUE

    HILL CITY, MN 55748 (21823)

    PHONE: 218/697-2705 FAX: 218/697-8145 MR. KEITH OLSON

    NORTHLAND VILLAGE MCGREGOR Lim-Liab HWSAL

    22027 420TH STREET

    MCGREGOR, MN 55760 (27287)

    PHONE: 218/768-3356 FAX: 218/768-3379 MR. THOMAS RENIER

    RIVERWOOD MCGREGOR CLINIC Corp RHC

    2 EAST CENTER AVE PO BOX 340

    MCGREGOR, MN 55760 (03736)

    PHONE: 218/768-4011 FAX: 218/768-4818 MR. MICHAEL HAGEN

    ---------------------------********** ANOKA

    ARBOR OAKS SENIOR LIVING Lim-Liab HCP-F

    1640 155TH LANE NW

    ANDOVER, MN 55304 (29442)

    PHONE: 763/205-2348 FAX: 763/757-1583 MS. KELSEY CALLAHAN

    ARBOR OAKS SENIOR LIVING LLC Lim-Liab HWS

    1640 155TH LANE NW

    ANDOVER, MN 55304 (29443)

    PHONE: 763/205-2248 FAX: 763/757-1583 MS. KELSEY SCHULZ

    CHERRYWOOD OF ANDOVER 1889 Lim-Liab HWSAL

    1889 139TH AVE NW

    ANDOVER, MN 55304 (29743)

    PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS

    CHERRYWOOD OF ANDOVER 1899 Lim-Liab HWSAL

    1899 139TH AVE NW

    ANDOVER, MN 55304 (29744)

    PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS

    CYPRESS MANOR Corp HWSAL

    16770 WREN STREET NW

    ANDOVER, MN 55304 (25460)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    Certification Registration

    AITKIN (Cont.)* -------------------------

    ******** -------------------------

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    GRACE NURSING CARE SERVICES IN Corp HCP-A

    3863 173RD LANE NORTHWEST

    ANDOVER, MN 55304 (29412)

    PHONE: 763/221-1556 FAX: / MS. BARBARA JOHANEK

    JUST FOR RACHEL HOME CARE Ind HCP-A

    4954 170TH LANE NORTHWEST

    ANDOVER, MN 55304 (25672)

    PHONE: 763/286-3862 FAX: 763/427-7099 MS. ANGELA ELLIOTT

    SUSAN ALIENE PETERSON Ind HCP-C

    15518 XEON STREET NW

    ANDOVER, MN 55304 (29749)

    PHONE: 763/434-4252 FAX: /- MS. SUSAN PETERSON

    THE FARMSTEAD NProf HWSAL

    13733 QUAY STREET

    ANDOVER, MN 55304 (20547)

    PHONE: 763/712-7000 FAX: 763/712-7040 MS. SUSAN MINAR

    THE FARMSTEAD NProf HCP-F

    13733 QUAY STREET

    ANDOVER, MN 55304 (27961)

    PHONE: 763/172-7000 FAX: 763/712-7001 MS. NATALIE MORLAND

    219 CLAY STREET NProf HWS

    219 CLAY STREET

    ANOKA, MN 55303 (31114)

    PHONE: 651/774-0011 FAX: 651/454-5000 MS. DANIELLE FOX

    2811 7TH AVE NProf HWS

    2811 7TH AVE

    ANOKA, MN 55303 (31115)

    PHONE: 651/774-0011 FAX: 651/454-5000 MS. DANIELLE FOX

    ANOKA METRO REG TREATMENT CTR State OTHER-175 SLFB-29 PSY-175

    3301 7TH AVE N

    ANOKA, MN 55303 (00004)

    PHONE: 651/431-5252 FAX: 651/431-7701 MR. BRIAN TEUBER

    ANOKA REHAB & LIVING CENTER NProf NH-120 SNF-NF-120

    3000 4TH AVENUE

    ANOKA, MN 55303 (00893)

    PHONE: 763/528-6400 FAX: 763/528-6402 MR. DOUGLAS DOLINSKY

    ENGELS 1845 NProf HWS

    1845 FERRY ST S

    ANOKA, MN 55303 (30256)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    Certification Registration

    ANOKA (Cont.)* -------------------------

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    ENGELS 2321 NProf HWS

    2321 BRANCH AVE

    ANOKA, MN 55303 (30257)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    ENGELS 2911 NProf HWS

    2911 7TH AVE

    ANOKA, MN 55303 (30258)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    GOLDEN LIVINGCENTER TWIN RIVER Lim-Liab NH-56 SNF-NF-56

    305 FREMONT ST

    ANOKA, MN 55303 (00866)

    PHONE: 763/421-5660 FAX: 763/421-6581 MR. ERNEST GERSHONE

    LINCOLN ESTATES 1000 NProf HWS

    1000 LINCOLN ST

    ANOKA, MN 55303 (30260)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    LINCOLN ESTATES 2630 NProf HWS

    2630 9TH LANE

    ANOKA, MN 55303 (30259)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    LINCOLN ESTATES 2710 NProf HWS

    2710 9TH LANE

    ANOKA, MN 55303 (30262)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    LINCOLN ESTATES 2740 NProf HWS

    2740 9TH LANE

    ANOKA, MN 55303 (30261)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    MEADOWS 500 GREEN NProf HWS

    500 GREEN HAVEN RD

    ANOKA, MN 55303 (30263)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

    RIVER OAKS OF ANOKA Lim-Liab HWSAL

    910 WESTERN STREET

    ANOKA, MN 55303 (24353)

    PHONE: 763/421-4011 FAX: 763/422-8946 MR. FRANCIS LANG

    RUM RIVER LLC 2727 NProf HWS

    2727 4TH AVE N

    ANOKA, MN 55303 (30264)

    PHONE: 651/225-8963 FAX: 651/291-1082 MS. DANIELLE FOX

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    ANOKA (Cont.)*

    Page 5

    Registration

    -------------------------

    Facility/Service Owner Licensure

    ---------------------------**********

    THE CEDARS Corp HWSAL-O

    701 POLK STREET

    ANOKA, MN 55303 (24253)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    THE ELMS Corp HWSAL-O

    2171 7TH AVENUE NORTH

    ANOKA, MN 55303 (20535)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    THE HOMESTEAD AT ANOKA NProf HWSAL

    3002 4TH AVENUE NORTH

    ANOKA, MN 55303 (29856)

    PHONE: 763/528-6500 FAX: 763/528-6501 MS. ANGIE ZIMMERMAN

    THE MAPLES Corp HWSAL-O

    2823 7TH AVE NORTH

    ANOKA, MN 55303 (23690)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    THE OAKS Corp HWSAL

    2201 7TH AVENUE NORTH

    ANOKA, MN 55303 (20534)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    THE PINES Corp HWSAL-O

    2153 7TH AVENUE NORTH

    ANOKA, MN 55303 (20536)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    THE WILLOWS Corp HWSAL

    2918 7TH AVENUE NORTH

    ANOKA, MN 55303 (24668)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    VOA HOME HEALTH AT ANOKA NProf COMP

    3002 4TH AVENUE NORTH

    ANOKA, MN 55303 (29031)

    PHONE: 763/528-6590 FAX: 763/528-6501 MS. ANGIE ZIMMERMAN

    WALKER METHODIST PLAZA NProf HWSAL

    131 MONROE STREET

    ANOKA, MN 55303 (30628)

    PHONE: 763/422-4037 FAX: 763/422-8115 MR. JONATHAN FENTON

    WALKER METHODIST PLAZA NProf COMP

    131 MONROE STREET

    ANOKA, MN 55303 (20443)

    PHONE: 763/422-4037 FAX: 763/422-8115 MR. JONATHAN FENTON

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    WHISPERING PINES ASSTD LIVING Corp HCP-F

    707 POLK STREET

    ANOKA, MN 55303 (20533)

    PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

    WOODLAND PARK APARTMENTS NProf HWS

    2614 CUTTERS GROVE AVE

    ANOKA, MN 55303 (31113)

    PHONE: 651/774-0011 FAX: 651/454-5000 MS. DANIELLE FOX

    10850 6TH ST N NProf HWS-O

    10850 6TH ST N

    BLAINE, MN 55434 (31116)

    PHONE: 651/774-0011 FAX: 651/454-5000 MS. DANIELLE FOX

    ANTHONY LOUIS CENTER Corp SLFA-22

    1000 PAUL PARKWAY

    BLAINE, MN 55434 (01400)

    PHONE: 763/757-2906 FAX: 763/757-2059 MS. MELISSA BROGGER

    BLAINE ASSISTED LIVING AND MEM Lim-Liab HWSAL

    10669 ULYSSES ST NE

    BLAINE, MN 55449 (30479)

    PHONE: 763/754-7300 FAX: 763/754-2561 MR. JASON GESCHWIND

    BLAINE ASSISTED LIVING AND MEM Lim-Liab COMP

    10669 ULYSSES ST NE

    BLAINE, MN 55449 (23914)

    PHONE: 763/754-7300 FAX: 763/754-2561 MR. JASON GESCHWIND

    BLAINE WHITE PINE Lim-Liab COMP

    12446 JAMESTOWN STREET NE

    BLAINE, MN 55449 (26857)

    PHONE: 763/754-1930 FAX: 763/754-1933 MS. RHONDA SCHILLINGER

    BLAINE WHITE PINE Lim-Liab HWSAL

    12446 JAMESTOWN STREET NE

    BLAINE, MN 55449 (30650)

    PHONE: 763/754-1930 FAX: 763/754-1933 MS. RHONDA SCHILLINGER

    BRAINZ LLC Lim-Liab COMP

    10299 UNIVERSITY AVE NE STE102

    BLAINE, MN 55434 (29603)

    PHONE: 763/205-9730 FAX: 763/205-9735 MR. PAULINUS FULTANG

    CENTRAL AVENUE DIALYSIS Lim-Liab ESRD

    10994 BALTIMORE STREET NE

    BLAINE, MN 554494601 (29879)

    PHONE: 763/786-5026 FAX: 763/786-4138 MR. NICK KIEFFER

    Certification Registration

    ANOKA (Cont.)* -------------------------

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    COMFORT KEEPERS Lim-Liab Home Mgmt

    9298 CENTRAL AVE NE STE 204

    BLAINE, MN 55434 (28074)

    PHONE: 763/786-1000 FAX: 763/786-9440 MS. BEV BERARD

    COMFORT KEEPERS Lim-Liab HCP-A

    9298 CENTRAL AVE NE SUITE 401

    BLAINE, MN 55434 (26035)

    PHONE: 763/786-1000 FAX: 763/786-9440 MR. TOM BERARD

    COMFORT KEEPERS Lim-Liab Home Mgmt

    9298 CENTRAL AVENUE NE STE 204

    BLAINE, MN 55434 (29393)

    PHONE: 763/786-1000 FAX: /- MR. TOM BERARD

    COMFORT KEEPERS 283 668 772 Lim-Liab HCP-A

    9298 CENTRAL AVE NE SUITE 204

    BLAINE, MN 55434 (29428)

    PHONE: 763/786-1000 FAX: /- MR. TOM BERARD

    EDGEWOOD BLAINE SENIOR LIVING Lim-Liab HWSAL

    12450 CLOUD DRIVE NE

    BLAINE, MN 55449 (29791)

    PHONE: 763/754-7123 FAX: 763/754-1723 MR. PHILIP GISI

    EDGEWOOD BLAINE SENIOR LVG LLC Lim-Liab HCP-F

    12450 CLOUD DRIVE NE

    BLAINE, MN 55449 (29941)

    PHONE: 218/230-5019 FAX: /- MS. LORI HANSON

    FRESENIUS MEDICAL CARE BLAINE Corp ESRD

    12555 CENTRAL AVENUE NE

    BLAINE, MN 55434 (28635)

    PHONE: 763/754-6774 FAX: 763/754-6334 MS. JENA ANDERBERG

    HEALTHMAX HOME HEALTH SERVICES Lim-Liab HCP/COMP HHA

    9298 CENTRAL AVE NE STE 402

    BLAINE, MN 55434 (25988)

    PHONE: 651/665-0000 FAX: 612/677-3947 MR. YOSSEPH ISAAK

    HIGH LAND CARE INC Corp COMP

    10307 UNIVERSITY AVE NE

    BLAINE, MN 55434 (03139)

    PHONE: 763/786-3439 FAX: 763/783-3528 MS. MARILYN LOM

    HOME INSTEAD SENIOR CARE Corp COMP

    10155 UNIVERSITY AVE NW # 100

    BLAINE, MN 55343 (23591)

    PHONE: 763/792-0041 FAX: /- MR. DANIEL ARNOLD

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    KAREN'S SENIOR KARE Ind BASIC

    13204 JOHNSON STREET NE

    BLAINE, MN 55434 (29570)

    PHONE: 763/226-4622 FAX: /- MS. KAREN PULLEN

    MINNESOTA EYE LASER AND SURGER Lim-Liab Outpt Surg Amb Surg

    11091 ULYSSES STREET

    BLAINE, MN 55434 (27713)

    PHONE: 763/421-9410 FAX: 952/567-6188 MS. CANDACE SIMERSON

    MSOCS BLAINE HOME State SLFB-6 ICFIID-6

    12949 KENYON STREET NORTHEAST

    BLAINE, MN 55449 (01644)

    PHONE: 763/755-0233 FAX: 763/755-0281 MS. GEORGENE ANDRIST

    NORTH METRO SURGERY CENTER Lim-Liab Outpt Surg Amb Surg

    11855 ULYSSES STREET SUITE 270

    BLAINE, MN 554344182 (26537)

    PHONE: 763/755-6540 FAX: 763/755-6516 MS. CELESTE MOORE

    STERLING HOUSE OF BLAINE Corp HWSAL

    1005 PAUL PARKWAY

    BLAINE, MN 55434 (30625)

    PHONE: 763/755-2800 FAX: 763/755-6400 MS. MARGARET MIC

    STERLING HOUSE OF BLAINE Corp COMP

    1005 PAUL PARKWAY

    BLAINE, MN 55434 (20412)

    PHONE: 763/755-2800 FAX: 763/755-6400 MS. MARGARET MIC

    STONE GATE APARTMENTS NProf HWS

    10640 6TH ST

    BLAINE, MN 55434 (30269)

    PHONE: 651/774-0011 FAX: /- MS. DANIELLE FOX

    SYNERGY HOME CARE NORTHEAST ME Corp COMP

    9380 CENTRAL AVENUE NE STE 310

    BLAINE, MN 55434 (29621)

    PHONE: 763/205-4440 FAX: 763/205-4403 MR. BRIAN MCDONALD

    TRANSAMERICA CARE INC Corp HCP-A

    11536 YANCY COURT NE

    BLAINE, MN 55449 (28519)

    PHONE: 763/742-2225 FAX: 763/245-7276 MR. GEBI TUFAA

    YAHWEH HOME CARE Lim-Liab HCP-A

    11465 TYLER STREET NORTHEAST

    BLAINE, MN 55434 (29282)

    PHONE: 763/205-5027 FAX: 763/568-7231 MS. TONJIA REED

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    4060 4TH STREET NE NProf HWS

    4060 4TH STREET NE

    COLUMBIA HEIGHTS, MN 55421 (31498)

    PHONE: 952/239-5310 FAX: 952/922-2901 MR. GEOFFREY MEYER

    4441 UNIVERSITY AVE NProf HWS

    4441 UNIVERSITY AVE

    COLUMBIA HEIGHTS, MN 55421 (31411)

    PHONE: 952/239-5310 FAX: 952/922-2901 MR. GEOFFREY MEYER

    4621 UNIVERSITY AVE NProf HWS

    4621 UNIVERSITY AVE

    COLUMBIA HEIGHTS, MN 55421 (31112)

    PHONE: 651/774-0011 FAX: 651/454-5000 MS. DANIELLE FOX

    4715 UNIVERSITY AVE NProf HWS

    4715 UNIVERSITY AVE

    COLUMBIA HEIGHTS, MN 55421 (31413)

    PHONE: 952/239-5310 FAX: 952/922-2901 MR. GEOFFREY MEYER

    ADVANZED HOME HEALTH CARE Lim-Liab COMP

    3831 BAKKEN BOULEVARD

    COLUMBIA HEIGHTS, MN 55421 (29776)

    PHONE: 612/323-0315 FAX: 612/460-6079 MR. LIBAN MOHAMUD

    ANOKA PROFESSIONAL HM CARE LLC Lim-Liab HCP-A

    4111 CENTRAL AVE NE STE 221 S

    COLUMBIA HEIGHTS, MN 55421 (29329)

    PHONE: 763/789-4669 FAX: 763/781-5114 MS. GWENDOLINE WANKA

    COLUMBIA VILLAGE NProf HWS

    1675 44TH AVENUE NE

    COLUMBIA HEIGHTS, MN 55421 (20787)

    PHONE: 763/782-1606 FAX: 763/782-0857 MS. SHIRLEY BARNES

    COMPASSIONATE HOME HEALTH INC Corp COMP

    4148 5TH STREET NE

    COLUMBIA HEIGHTS, MN 55421 (26735)

    PHONE: 763/291-5125 FAX: 763/782-8740 MR. MARK ONYENEMEZU

    CREST VIEW HOME CARE NProf HCP-F

    1515 44TH AVENUE NORTHEAST

    COLUMBIA HEIGHTS, MN 55421 (20750)

    PHONE: 763/782-1605 FAX: 763/788-0012 MS. MARIE DE LEON

    CREST VIEW HOME HEALTH CARE NProf HCP/COMP HHA

    1515 44TH AVENUE NORTHEAST

    COLUMBIA HEIGHTS, MN 55421 (03080)

    PHONE: 763/782-1605 FAX: 763/788-0012 MS. ANNE DE LEON

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    ANOKA---------------------------********** (Cont.)* -------------------------

    CREST VIEW LUTHERAN HOME NProf NH-122 SNF-NF-122

    4444 RESERVOIR BLVD NE

    COLUMBIA HEIGHTS, MN 55421 (00005)

    PHONE: 763/782-1620 FAX: 763/782-0857 MS. TALIA ARAMALAY

    CREST VIEW ON 42ND NProf HWSAL

    900 42ND AVENUE NE

    COLUMBIA HEIGHTS, MN 55421 (21871)

    PHONE: 763/781-5873 FAX: 763/782-0857 MS. TALIA ARAMALAY

    CSSC HOME CARE SERVICES NProf HCP-B

    4111 CENTRAL AVE N STE 200A

    COLUMBIA HEIGHTS, MN 55421 (29538)

    PHONE: 612/529-2602 FAX: 612/465-2733 MS. YI LI YOU

    LIGHTHOUSE OF COLUMBIA HEIGHTS Lim-Liab HWSAL

    3801 HART BOULEVARD NORTHEAST

    COLUMBIA HEIGHTS, MN 55421 (30649)

    PHONE: 763/210-6600 FAX: 763/210-6695 MS. TAMMY KUCERA

    LIGHTHOUSE OF COLUMBIA HEIGHTS Lim-Liab COMP

    3801 HART BOULEVARD NORTHEAST

    COLUMBIA HEIGHTS, MN 55421 (26853)

    PHONE: 763/210-6600 FAX: 763/210-6695 MR. JOHN SHERIDAN-GIESE

    LYNDE INVESTMENT COMPANY LLP NProf HWS

    4707 UNIVERSITY AVE APT BLDG 2

    COLUMBIA HEIGHTS, MN 55421 (31232)

    PHONE: 651/774-0011 FAX: /- MR. GEOFFREY MEYER

    LYNDE INVESTMENT COMPANY LLP NProf HWS

    4433 UNIVERSITY AVE APT BLDG 1

    COLUMBIA HEIGHTS, MN 55421 (31227)

    PHONE: 651/774-0011 FAX: /- MR. GEOFFREY MEYER

    MIRACLES 1ST LLP Part HCP-F

    5128 4TH STREET NE

    COLUMBIA HEIGHTS, MN 55421 (29835)

    PHONE: 612/227-7065 FAX: /- MS. TEMEKA THEDFORD

    MOTASSIM MOHAMED SORKATY Ind TBASIC

    3847 CENTRAL AVE NE

    COLUMBIA HEIGHTS, MN 55421 (30987)

    PHONE: 612/275-5909 FAX: /- MR. MOTASSIM SORKATY

    NEIGHBORS CARE HEALTH SERVICES Corp HCP-A

    4937 JACKSON STREET NE

    COLUMBIA HEIGHTS, MN 55421 (29488)

    PHONE: 612/532-6406 FAX: /- MR. RASHID ISSACK

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    PRO-HEALTH HOME CARE AGENCY LL Lim-Liab HCP-A

    3989 CENTRAL AVE NE SUITE 510

    COLUMBIA HEIGHTS, MN 55421 (25163)

    PHONE: 763/746-8155 FAX: 763/746-8154 DR. ABDULWAHAB ASAMARAI

    ROYCE PLACE NProf HWSAL

    1515 44TH AVENUE NE

    COLUMBIA HEIGHTS, MN 55421 (20079)

    PHONE: 763/706-2563 FAX: 763/788-0012 MS. TALIA ARAMALAY

    THE BOULEVARD NProf HWS

    4458 RESERVOIR BLVD NORTHEAST

    COLUMBIA HEIGHTS, MN 55421 (20078)

    PHONE: 763/782-1606 FAX: 763/782-0857 MS. TALIA ARAMALAY

    THE DWELLING PLACE NORTH METRO Church HWS

    940 44TH AVENUE NE UNIT 21307

    COLUMBIA HEIGHTS, MN 55421 (31370)

    PHONE: 651/221-0405 FAX: / MS. JODY COWDIN

    THE DWELLING PLACE ST PAUL Church HWS

    940 44TH AVE NE UNIT 21307

    COLUMBIA HEIGHTS, MN 55421 (31257)

    PHONE: 651/221-0405 FAX: 651/221-0420 MS. JODY COWDIN

    AUTUMN GLEN SENIOR LIVING LLC Lim-Liab HWSAL

    3715 COON RAPIDS BLVD

    COON RAPIDS, MN 55433 (31129)

    PHONE: 763/772-4492 FAX: /- MR. CHRISTOPHER KING

    BANEBERRY ESTATE 11205 NProf HWS

    11205 HANSON BLVD

    COON RAPIDS, MN 55448 (30274)

    PHONE: 651/225-8963 FAX: 651/291-8653 MS. DANIELLE FOX

    BANEBERRY ESTATES NProf HWS

    11245 HANSON BLVD

    COON RAPIDS, MN 55433 (31365)

    PHONE: 763/755-2013 FAX: /- MR. GEOFFREY MEYER

    BETHESDA LUTHERAN COMM COT 5 NProf SLFA-12 ICFIID-12

    2483 109TH AVENUE NORTHWEST

    COON R