Lakeview Methodist Health Care Center - Fairmont Nursing Home
General Information
UPDATEFederal Provider Number
245280
Provider Name
LAKEVIEW METHODIST HEALTH CARE CENTER
Provider Address
610 SUMMIT DRIVE
FAIRMONT, MN 56031
FAIRMONT, MN 56031
Provider Phone Number
(507) 235-6606
Provider SSA County
450
Provider County Name
Martin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
85
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEVIEW METHODIST HEALTH CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1985-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.19595
Reported LPN Staffing Hours per Resident per Day
1.32905
Reported RN Staffing Hours per Resident per Day
0.93041
Reported Licensed Staffing Hours per Resident per Day
2.25946
Reported Total Nurse Staffing Hours per Resident per Day
5.45541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00743
Expected CNA Staffing Hours per Resident per Day
2.39737
Expected LPN Staffing Hours per Resident per Day
0.58764
Expected RN Staffing Hours per Resident per Day
0.85083
Expected Total Nurse Staffing Hours per Resident per Day
3.83584
Adjusted CNA Staffing Hours per Resident per Day
3.27105
Adjusted LPN Staffing Hours per Resident per Day
1.87718
Adjusted RN Staffing Hours per Resident per Day
0.81709
Adjusted Total Nurse Staffing Hours per Resident per Day
5.73283
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
28
Cycle 1 Standard Survey Health Date
2014-01-24
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
49.33300
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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