Mayo Clinic Health System-oakridge, Inc - Osseo Nursing Home
General Information
UPDATEFederal Provider Number
525709
Provider Name
MAYO CLINIC HEALTH SYSTEM-OAKRIDGE, INC
Provider Address
13025 EIGHTH ST
OSSEO, WI 54758
OSSEO, WI 54758
Provider Phone Number
(715) 597-3121
Provider SSA County
600
Provider County Name
Trempealeau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
21
Number of Residents in Certified Beds
20
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MAYO CLINIC HEALTH SYSTEM - OAKRIDGE, INC
Date First Approved to Provide Medicare and Medicaid services
2013-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
3.91250
Reported LPN Staffing Hours per Resident per Day
0.51500
Reported RN Staffing Hours per Resident per Day
1.68500
Reported Licensed Staffing Hours per Resident per Day
2.20000
Reported Total Nurse Staffing Hours per Resident per Day
6.11250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53660
Expected LPN Staffing Hours per Resident per Day
0.68550
Expected RN Staffing Hours per Resident per Day
1.00310
Expected Total Nurse Staffing Hours per Resident per Day
4.22519
Adjusted CNA Staffing Hours per Resident per Day
3.78464
Adjusted LPN Staffing Hours per Resident per Day
0.62356
Adjusted RN Staffing Hours per Resident per Day
1.25514
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83142
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
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
12
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
2013-11-27
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
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
24.00000
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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