Colonial Manor Nursing Home - Lakefield Nursing Home
General Information
UPDATEFederal Provider Number
245572
Provider Name
COLONIAL MANOR NURSING HOME
Provider Address
403 COLONIAL AVENUE
LAKEFIELD, MN 56150
LAKEFIELD, MN 56150
Provider Phone Number
(507) 662-6646
Provider SSA County
310
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
37
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKES COMMUNITIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-05-01
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.10441
Reported LPN Staffing Hours per Resident per Day
0.46029
Reported RN Staffing Hours per Resident per Day
0.55735
Reported Licensed Staffing Hours per Resident per Day
1.01765
Reported Total Nurse Staffing Hours per Resident per Day
4.12205
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06324
Expected CNA Staffing Hours per Resident per Day
2.57963
Expected LPN Staffing Hours per Resident per Day
0.65926
Expected RN Staffing Hours per Resident per Day
0.92598
Expected Total Nurse Staffing Hours per Resident per Day
4.16487
Adjusted CNA Staffing Hours per Resident per Day
2.95286
Adjusted LPN Staffing Hours per Resident per Day
0.57950
Adjusted RN Staffing Hours per Resident per Day
0.44974
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98946
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.66700
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
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