Fairview Care Center - Dodge Center Nursing Home

General Information

UPDATE
Federal Provider Number
245344
Provider Name
FAIRVIEW CARE CENTER
Provider Address
702 10TH AVENUE NORTHWEST, PO BOX 10
DODGE CENTER, MN 55927
Provider Phone Number
5073742578
Provider SSA County
190
Provider County Name
Dodge
Ownership Type
Government - County
Number of Certified Beds
55
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1986-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.44300
Reported LPN Staffing Hours per Resident per Day
0.24700
Reported RN Staffing Hours per Resident per Day
0.87000
Reported Licensed Staffing Hours per Resident per Day
1.11700
Reported Total Nurse Staffing Hours per Resident per Day
3.56000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06400
Expected CNA Staffing Hours per Resident per Day
2.36335
Expected LPN Staffing Hours per Resident per Day
0.56822
Expected RN Staffing Hours per Resident per Day
0.94895
Expected Total Nurse Staffing Hours per Resident per Day
3.88053
Adjusted CNA Staffing Hours per Resident per Day
2.53639
Adjusted LPN Staffing Hours per Resident per Day
0.36079
Adjusted RN Staffing Hours per Resident per Day
0.68503
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69795
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
28
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
22.00000
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

Field Crest Care Center

318 Second Street Northeast | HAYFIELD MN 55940 | 10 miles away

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