Minnesota Nursing Homes >> Gaylord Nursing Homes >> Oak Terrace Health Care Center

Oak Terrace Health Care Center - Gaylord Nursing Home

General Information

UPDATE
Federal Provider Number
245473
Provider Name
OAK TERRACE HEALTH CARE CENTER
Provider Address
640 THIRD STREET
GAYLORD, MN 55334
Provider Phone Number
5072372911
Provider SSA County
710
Provider County Name
Sibley
Ownership Type
For profit - Partnership
Number of Certified Beds
46
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC
Date First Approved to Provide Medicare and Medicaid services
1987-05-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25000
Reported LPN Staffing Hours per Resident per Day
0.45769
Reported RN Staffing Hours per Resident per Day
0.78462
Reported Licensed Staffing Hours per Resident per Day
1.24231
Reported Total Nurse Staffing Hours per Resident per Day
3.49231
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08205
Expected CNA Staffing Hours per Resident per Day
2.41101
Expected LPN Staffing Hours per Resident per Day
0.58300
Expected RN Staffing Hours per Resident per Day
0.95927
Expected Total Nurse Staffing Hours per Resident per Day
3.95327
Adjusted CNA Staffing Hours per Resident per Day
2.28984
Adjusted LPN Staffing Hours per Resident per Day
0.65160
Adjusted RN Staffing Hours per Resident per Day
0.61116
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56089
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
20
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-21
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
6370
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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