Edit

MN-DD Support Services Housing Profile
Ewing Residence

Expiration Date: 04/17/2014




Hide details for General InformationGeneral Information

Provider Name:Companion Housing
Corporate Contact:Morris MatthewsPhone:952-285-5950Fax:952-285-5952
Corporate Address:3040 Inglewood Ave.S., St. Louis Park, MN 55416Email:
Is your company licensed as a Crisis Service Vendor?No

Site/Facility Name:Ewing Residence
Site/Facility Contact:Linda RossPhone:952-285-5950Fax:
Site/Facility Address
Street:
4222 Ewing Ave. N.
Town/City:
Robbinsdale
State:
Minnesota
Zip:
55422

County in which the site is located:Hennepin

Type of Facility/Service:SLS Type of Funding:


1 out of 4 bed(s) are available at this site.
The person would have a: Private Bedroom

Desired Per Diem:$225.00
Other Expenses?No
Hide details for Programmatic ConsiderationsProgrammatic Considerations

Would you consider supporting people who:
Comments
Are Male?
No
Are Female?
Yes
Are Under the Age of 18?
No
Are Over the Age of 18?
Yes
Are Retired or Have No Work/School Program?
No
Have Borderline ID?
Yes
Have Mild ID?
Yes
Have Moderate ID?
Yes
Have Severe ID?
No
Have Profound ID?
No
Have Mental Health issues/diagnosis?
Yes
Have Physical Disabilities?
Maybe
Require a Hanicapped Accessible Residence?
No
Require Psychotropic and/or Other Medications?
Yes
Require Special Medical Attention?
Maybe
Require Positive Support Transition Plan?
Yes
Require the use of Physical Intervention Now or in the past?
Yes
Engage in Self-Injurious Behavior?
Yes
Engage in Physical Aggression?
Yes
Engage in Verbal Aggression?
Yes
Engage in Property Destruction?
Yes
Engage in Undesireable Sexual Behaviors?
Yes
Smokes or Uses Other Tobacco Products?
Yes
Uses Alcohol?
Maybe
Have Chemical Dependency issues?
Maybe
Is in recovery from Alcoholism or Chemical Dependency?
Maybe


List other variables that you will or will not consider:

Hide details for Staffing/ SupervisionStaffing/ Supervision

M-F Caregiver Schedule:
Minimum Client/Caregiver Ratio:1:4PeakClient/Caregiver Ratio:2:4
Comments:


Sat/Sun Caregiver Schedule:
Minimum Client/Caregiver Ratio:1:4PeakClient/Caregiver Ratio:2:4
Comments:




Overnight Caregiver Schedule:
Minimum Client/Caregiver Ratio:1:4PeakClient/Caregiver Ratio:2:4
Asleep Overnight, On-call Overnight Support Available

Hide details for Additional ConsiderationsAdditional Considerations

Would you consider serving people who need a place to live for less than three months?No
Would you consider serving people who need a place to live for only three to six months?No
Would you consider serving people who need a place to live for more than six months?Yes




Comments about the other people who live at this site: (e.g. vulnerabilities, aggression, chemical abuse, etc...)
clients are very active women functioning in the higher levels.



Comments from the other people who live at this site:




Additional comments you would like to share with consumers, advocates, Case Managers and others who may be
looking for a residential opening (e.g.: your company's special skills, interests, clinical, cultural or spiritual orientation):





Home | by Age | by County | by Facility Type | by Gender | by Special Med Attn

by Handicapped Acc | by Length of Stay | by ID Level | by Overnight Sup