Wood Dale Home Inc - Redwood Falls Nursing Home
General Information
UPDATEFederal Provider Number
245261
Provider Name
WOOD DALE HOME INC
Provider Address
600 SUNRISE BOULEVARD
REDWOOD FALLS, MN 56283
REDWOOD FALLS, MN 56283
Provider Phone Number
(507) 637-3587
Provider SSA County
630
Provider County Name
Redwood
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOOD DALE HOME INC
Date First Approved to Provide Medicare and Medicaid services
1983-10-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.80833
Reported LPN Staffing Hours per Resident per Day
0.75000
Reported RN Staffing Hours per Resident per Day
0.75667
Reported Licensed Staffing Hours per Resident per Day
1.50667
Reported Total Nurse Staffing Hours per Resident per Day
4.31500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03333
Expected CNA Staffing Hours per Resident per Day
2.40706
Expected LPN Staffing Hours per Resident per Day
0.58078
Expected RN Staffing Hours per Resident per Day
0.91967
Expected Total Nurse Staffing Hours per Resident per Day
3.90751
Adjusted CNA Staffing Hours per Resident per Day
2.86274
Adjusted LPN Staffing Hours per Resident per Day
1.07183
Adjusted RN Staffing Hours per Resident per Day
0.61477
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45126
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
490
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
490
Total Weighted Health Survey Score
100.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
20638
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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