Colonial Manor Of Balaton - Balaton Nursing Home

General Information

UPDATE
Federal Provider Number
245552
Provider Name
COLONIAL MANOR OF BALATON
Provider Address
HIGHWAY 14 EAST PO BOX 219
BALATON, MN 56115
Provider Phone Number
5077343511
Provider SSA County
410
Provider County Name
Lyon
Ownership Type
Government - City
Number of Certified Beds
33
Number of Residents in Certified Beds
32
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ECUMEN SERVICES INC.
Date First Approved to Provide Medicare and Medicaid services
1991-04-01
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
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
2.90938
Reported LPN Staffing Hours per Resident per Day
0.61719
Reported RN Staffing Hours per Resident per Day
0.78594
Reported Licensed Staffing Hours per Resident per Day
1.40313
Reported Total Nurse Staffing Hours per Resident per Day
4.31251
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04688
Expected CNA Staffing Hours per Resident per Day
2.49200
Expected LPN Staffing Hours per Resident per Day
0.63141
Expected RN Staffing Hours per Resident per Day
0.87652
Expected Total Nurse Staffing Hours per Resident per Day
3.99993
Adjusted CNA Staffing Hours per Resident per Day
2.86467
Adjusted LPN Staffing Hours per Resident per Day
0.81130
Adjusted RN Staffing Hours per Resident per Day
0.66999
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34590
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
28
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
4
Cycle 2 Standard Health Survey Date
2013-12-04
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
12
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
17.33300
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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