Lake Winona Manor - Winona Nursing Home

General Information

UPDATE
Federal Provider Number
245240
Provider Name
LAKE WINONA MANOR
Provider Address
865 MANKATO AVENUE
WINONA, MN 55987
Provider Phone Number
5074574366
Provider SSA County
840
Provider County Name
Winona
Ownership Type
Non profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
WINONA SENIOR SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1982-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.44675
Reported LPN Staffing Hours per Resident per Day
0.86707
Reported RN Staffing Hours per Resident per Day
0.54228
Reported Licensed Staffing Hours per Resident per Day
1.40935
Reported Total Nurse Staffing Hours per Resident per Day
3.85610
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09065
Expected CNA Staffing Hours per Resident per Day
2.45923
Expected LPN Staffing Hours per Resident per Day
0.60572
Expected RN Staffing Hours per Resident per Day
0.97999
Expected Total Nurse Staffing Hours per Resident per Day
4.04494
Adjusted CNA Staffing Hours per Resident per Day
2.44125
Adjusted LPN Staffing Hours per Resident per Day
1.18812
Adjusted RN Staffing Hours per Resident per Day
0.41346
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84272
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
40
Cycle 2 Standard Health Survey Date
2013-10-31
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
51.33300
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

Nursiong Homes Nearby

Saint Anne Extended Healthcare

1347 West Broadway | WINONA MN 55987 | 2.9 miles away

Sauer Health Care

1635 West Service Drive | WINONA MN 55987 | 3.2 miles away

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