Buffalo Lake Health Care Ctr - Buffalo Lake Nursing Home

General Information

UPDATE
Federal Provider Number
245589
Provider Name
BUFFALO LAKE HEALTH CARE CTR
Provider Address
703 WEST YELLOWSTONE TRAIL, PO 368
BUFFALO LAKE, MN 55314
Provider Phone Number
3208335364
Provider SSA County
640
Provider County Name
Renville
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BUFFALO LAKE HEALTHCARE CENTER INC,.
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.19388
Reported LPN Staffing Hours per Resident per Day
0.37857
Reported RN Staffing Hours per Resident per Day
0.67143
Reported Licensed Staffing Hours per Resident per Day
1.05000
Reported Total Nurse Staffing Hours per Resident per Day
4.24388
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11122
Expected CNA Staffing Hours per Resident per Day
2.46414
Expected LPN Staffing Hours per Resident per Day
0.58690
Expected RN Staffing Hours per Resident per Day
0.88156
Expected Total Nurse Staffing Hours per Resident per Day
3.93260
Adjusted CNA Staffing Hours per Resident per Day
3.18035
Adjusted LPN Staffing Hours per Resident per Day
0.53538
Adjusted RN Staffing Hours per Resident per Day
0.56910
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34997
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-26
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
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

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