Lakeside Health Care Center - Dassel Nursing Home

General Information

UPDATE
Federal Provider Number
245533
Provider Name
LAKESIDE HEALTH CARE CENTER
Provider Address
439 WILLIAM AVENUE EAST, PO BOX 383
DASSEL, MN 55325
Provider Phone Number
3202753308
Provider SSA County
460
Provider County Name
Meeker
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUGUSTANA DASSEL LAKESIDE COMMUNITY HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-24
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
5
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
2.81429
Reported LPN Staffing Hours per Resident per Day
0.81837
Reported RN Staffing Hours per Resident per Day
0.83776
Reported Licensed Staffing Hours per Resident per Day
1.65612
Reported Total Nurse Staffing Hours per Resident per Day
4.47042
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11633
Expected CNA Staffing Hours per Resident per Day
2.51937
Expected LPN Staffing Hours per Resident per Day
0.57959
Expected RN Staffing Hours per Resident per Day
0.91448
Expected Total Nurse Staffing Hours per Resident per Day
4.01344
Adjusted CNA Staffing Hours per Resident per Day
2.74094
Adjusted LPN Staffing Hours per Resident per Day
1.17194
Adjusted RN Staffing Hours per Resident per Day
0.68452
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48987
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
2.66700
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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