Lakewood Care Center - Baudette Nursing Home
General Information
UPDATEFederal Provider Number
245580
Provider Name
LAKEWOOD CARE CENTER
Provider Address
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
BAUDETTE, MN 56623
Provider Phone Number
(218) 634-3488
Provider SSA County
380
Provider County Name
Lake Of Woods
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
36
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
LAKEWOOD HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1.95571
Reported LPN Staffing Hours per Resident per Day
0.98286
Reported RN Staffing Hours per Resident per Day
0.59000
Reported Licensed Staffing Hours per Resident per Day
1.57286
Reported Total Nurse Staffing Hours per Resident per Day
3.52857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00143
Expected CNA Staffing Hours per Resident per Day
2.35310
Expected LPN Staffing Hours per Resident per Day
0.55820
Expected RN Staffing Hours per Resident per Day
0.70916
Expected Total Nurse Staffing Hours per Resident per Day
3.62045
Adjusted CNA Staffing Hours per Resident per Day
2.03932
Adjusted LPN Staffing Hours per Resident per Day
1.46143
Adjusted RN Staffing Hours per Resident per Day
0.62165
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92860
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
16
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
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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