Mayo Clinic Health System - Lake City - Lake City Nursing Home
General Information
UPDATEFederal Provider Number
245218
Provider Name
MAYO CLINIC HEALTH SYSTEM - LAKE CITY
Provider Address
500 WEST GRANT STREET
LAKE CITY, MN 55041
LAKE CITY, MN 55041
Provider Phone Number
6513451144
Provider SSA County
240
Provider County Name
Goodhue
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MAYO CLINIC HEALTH SYSTEM - LAKE CITY
Date First Approved to Provide Medicare and Medicaid services
1978-03-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12798
Reported LPN Staffing Hours per Resident per Day
1.01131
Reported RN Staffing Hours per Resident per Day
1.07321
Reported Licensed Staffing Hours per Resident per Day
2.08452
Reported Total Nurse Staffing Hours per Resident per Day
4.21250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02738
Expected CNA Staffing Hours per Resident per Day
2.37707
Expected LPN Staffing Hours per Resident per Day
0.64427
Expected RN Staffing Hours per Resident per Day
1.01700
Expected Total Nurse Staffing Hours per Resident per Day
4.03834
Adjusted CNA Staffing Hours per Resident per Day
2.19658
Adjusted LPN Staffing Hours per Resident per Day
1.30285
Adjusted RN Staffing Hours per Resident per Day
0.78850
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20474
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
St Elizabeth Medical Center
1200 Fifth Grant Boulevard West |
WABASHA MN 55981 | 12.6 miles away
St Isidore Health Center Of Greenwood Prairie
800 Second Avenue Northwest |
PLAINVIEW MN 55964 | 20.8 miles away
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