Maple Lawn Senior Care - Fulda Nursing Home
General Information
UPDATEFederal Provider Number
245570
Provider Name
MAPLE LAWN SENIOR CARE
Provider Address
400 SEVENTH STREET
FULDA, MN 56131
FULDA, MN 56131
Provider Phone Number
(507) 425-2571
Provider SSA County
500
Provider County Name
Murray
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
58
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE LAWN NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1991-08-01
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21058
Reported LPN Staffing Hours per Resident per Day
0.56923
Reported RN Staffing Hours per Resident per Day
0.80096
Reported Licensed Staffing Hours per Resident per Day
1.37019
Reported Total Nurse Staffing Hours per Resident per Day
3.58077
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01923
Expected CNA Staffing Hours per Resident per Day
2.36401
Expected LPN Staffing Hours per Resident per Day
0.57793
Expected RN Staffing Hours per Resident per Day
0.81639
Expected Total Nurse Staffing Hours per Resident per Day
3.75833
Adjusted CNA Staffing Hours per Resident per Day
2.29445
Adjusted LPN Staffing Hours per Resident per Day
0.81750
Adjusted RN Staffing Hours per Resident per Day
0.73308
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84046
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
8
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
13.33300
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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