Fair Oaks Lodge - Wadena Nursing Home

General Information

UPDATE
Federal Provider Number
245581
Provider Name
FAIR OAKS LODGE
Provider Address
201 SHADY LANE DRIVE
WADENA, MN 56482
Provider Phone Number
2186311391
Provider SSA County
790
Provider County Name
Wadena
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LSS OF WADENA LLC
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.00563
Reported LPN Staffing Hours per Resident per Day
0.70845
Reported RN Staffing Hours per Resident per Day
0.77254
Reported Licensed Staffing Hours per Resident per Day
1.48099
Reported Total Nurse Staffing Hours per Resident per Day
3.48662
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08028
Expected CNA Staffing Hours per Resident per Day
2.46120
Expected LPN Staffing Hours per Resident per Day
0.58637
Expected RN Staffing Hours per Resident per Day
0.92109
Expected Total Nurse Staffing Hours per Resident per Day
3.96867
Adjusted CNA Staffing Hours per Resident per Day
1.99952
Adjusted LPN Staffing Hours per Resident per Day
1.00281
Adjusted RN Staffing Hours per Resident per Day
0.62669
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54129
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
22
Cycle 1 Total Health Score
66
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-05
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
2012-11-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
47.66700
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

Nursiong Homes Nearby

Green Pine Acres Nursing Home

427 Main Street Northeast | MENAHGA MN 56464 | 21.7 miles away

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