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DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL
ID: 9FNP
PART I - TO BE COMPLETED BY THE STATE SURVEY AGENCY
1. MEDICARE/MEDICAID PROVIDER NO.
245533
(L1)
(L4) 439 WILLIAM AVENUE EAST, PO BOX 383
2.STATE VENDOR OR MEDICAID NO.
(L2)
314182000
5. EFFECTIVE DATE CHANGE OF OWNERSHIP
01 Hospital
03/10/2016
8. ACCREDITATION STATUS:
0 Unaccredited
2 AOA
To
(b) :
05 HHA
09 ESRD
13 PTIP
02 SNF/NF/Dual
06 PRTF
10 NF
14 CORF
03 SNF/NF/Distinct
07 X-Ray
11 ICF/IID
15 ASC
04 SNF
08 OPT/SP
12 RHC
16 HOSPICE
2. Recertification
3. Termination
4. CHOW
5. Validation
6. Complaint
7. On-Site Visit
9. Other
FISCAL YEAR ENDING DATE:
(L35)
09/30
10.THE FACILITY IS CERTIFIED AS:
X A. In Compliance With
And/Or Approved Waivers Of The Following Requirements:
Program Requirements
Compliance Based On:
1. Acceptable POC
12.Total Facility Beds
54 (L18)
13.Total Certified Beds
54 (L17)
2. Technical Personnel
6. Scope of Services Limit
3. 24 Hour RN
7. Medical Director
4. 7-Day RN (Rural SNF)
8. Patient Room Size
5. Life Safety Code
9. Beds/Room
B. Not in Compliance with Program
Requirements and/or Applied Waivers:
(L12)
A*
* Code:
15. FACILITY MEETS
14. LTC CERTIFIED BED BREAKDOWN
18 SNF
1. Initial
8. Full Survey After Complaint
22 CLIA
(L34)
1 TJC
3 Other
7 (L8)
(L7)
(L10)
11. .LTC PERIOD OF CERTIFICATION
(a) :
02
7. PROVIDER/SUPPLIER CATEGORY
(L9)
From
(L6) 55325
(L5) DASSEL, MN
6. DATE OF SURVEY
Facility ID: 00773
4. TYPE OF ACTION:
3. NAME AND ADDRESS OF FACILITY
(L3) LAKESIDE HEALTH CARE CENTER
18/19 SNF
19 SNF
ICF
IID
(L39)
(L42)
(L43)
(L15)
1861 (e) (1) or 1861 (j) (1):
54
(L37)
(L38)
16. STATE SURVEY AGENCY REMARKS (IF APPLICABLE SHOW LTC CANCELLATION DATE):
17. SURVEYOR SIGNATURE
Date :
Kimberly Swenson, DSFM
18. STATE SURVEY AGENCY APPROVAL
03/23/2016
(L19)
Date:
Kate JohnsTon, Program Specialist
03/31/2016
(L20)
PART II - TO BE COMPLETED BY HCFA REGIONAL OFFICE OR SINGLE STATE AGENCY
19. DETERMINATION OF ELIGIBILITY
20. COMPLIANCE WITH CIVIL
RIGHTS ACT:
1. Facility is Eligible to Participate
21.
1. Statement of Financial Solvency (HCFA-2572)
2. Ownership/Control Interest Disclosure Stmt (HCFA-1513)
3. Both of the Above :
2. Facility is not Eligible
(L21)
22. ORIGINAL DATE
23. LTC AGREEMENT
OF PARTICIPATION
24. LTC AGREEMENT
BEGINNING DATE
26. TERMINATION ACTION:
ENDING DATE
VOLUNTARY
01/24/1989
(L24)
(L41)
25. LTC EXTENSION DATE:
(L25)
(L30)
00
05-Fail to Meet Health/Safety
02-Dissatisfaction W/ Reimbursement
06-Fail to Meet Agreement
03-Risk of Involuntary Termination
27. ALTERNATIVE SANCTIONS
04-Other Reason for Withdrawal
A. Suspension of Admissions:
OTHER
07-Provider Status Change
00-Active
(L44)
(L27)
INVOLUNTARY
01-Merger, Closure
B. Rescind Suspension Date:
(L45)
28. TERMINATION DATE:
30. REMARKS
29. INTERMEDIARY/CARRIER NO.
03001
(L28)
31. RO RECEIPT OF CMS-1539
3RVWHG&R
32. DETERMINATION OF APPROVAL DATE
(L32)
FORM CMS-1539 (7-84) (Destroy Prior Editions)
(L31)
(L33)
DETERMINATION APPROVAL
020499
WZKdd/E'͕D/Ed/E/E'E/DWZKs/E'd,,>d,K&>>D/EE^KdE^
D^ĞƌƚŝĨŝĐĂƚŝŽŶEƵŵďĞƌ;EͿ͗Ϯϰϱϱϯϯ DĂƌĐŚϯϭ͕ϮϬϭϲ
DƐ͘ƌŝĂŶŶĞtŽůƚĞƌƐ͕ĚŵŝŶŝƐƚƌĂƚŽƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
ϰϯϵtŝůůŝĂŵǀĞŶƵĞĂƐƚ͕W͘K͘Ždžϯϴϯ
ĂƐƐĞů͕DŝŶŶĞƐŽƚĂϱϱϯϮϱ
ĞĂƌDƐ͘tŽůƚĞƌƐ͗
dŚĞDŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚĂƐƐŝƐƚƐƚŚĞĞŶƚĞƌƐĨŽƌDĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚ^ĞƌǀŝĐĞƐ;D^ͿďLJ
ƐƵƌǀĞLJŝŶŐƐŬŝůůĞĚŶƵƌƐŝŶŐĨĂĐŝůŝƚŝĞƐĂŶĚŶƵƌƐŝŶŐĨĂĐŝůŝƚŝĞƐƚŽĚĞƚĞƌŵŝŶĞǁŚĞƚŚĞƌƚŚĞLJŵĞĞƚƚŚĞ
ƌĞƋƵŝƌĞŵĞŶƚƐĨŽƌƉĂƌƚŝĐŝƉĂƚŝŽŶ͘dŽƉĂƌƚŝĐŝƉĂƚĞĂƐĂƐŬŝůůĞĚŶƵƌƐŝŶŐĨĂĐŝůŝƚLJŝŶƚŚĞDĞĚŝĐĂƌĞƉƌŽŐƌĂŵŽƌĂƐ
ĂŶƵƌƐŝŶŐĨĂĐŝůŝƚLJŝŶƚŚĞDĞĚŝĐĂŝĚƉƌŽŐƌĂŵ͕ĂƉƌŽǀŝĚĞƌŵƵƐƚďĞŝŶƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞǁŝƚŚĞĂĐŚŽĨ
ƚŚĞƌĞƋƵŝƌĞŵĞŶƚƐĞƐƚĂďůŝƐŚĞĚďLJƚŚĞ^ĞĐƌĞƚĂƌLJŽĨ,ĞĂůƚŚĂŶĚ,ƵŵĂŶ^ĞƌǀŝĐĞƐĨŽƵŶĚŝŶϰϮ&ZƉĂƌƚϰϴϯ͕
^ƵďƉĂƌƚ͘ ĂƐĞĚƵƉŽŶLJŽƵƌĨĂĐŝůŝƚLJďĞŝŶŐŝŶƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞ͕ǁĞĂƌĞƌĞĐŽŵŵĞŶĚŝŶŐƚŽD^ƚŚĂƚLJŽƵƌ
ĨĂĐŝůŝƚLJďĞƌĞĐĞƌƚŝĨŝĞĚĨŽƌƉĂƌƚŝĐŝƉĂƚŝŽŶŝŶƚŚĞDĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚƉƌŽŐƌĂŵ͘
ĨĨĞĐƚŝǀĞDĂƌĐŚϯϬ͕ϮϬϭϲƚŚĞĂďŽǀĞĨĂĐŝůŝƚLJŝƐĐĞƌƚŝĨŝĞĚĨŽƌŽƌƌĞĐŽŵŵĞŶĚĞĚĨŽƌ͗ ϱϰ
^ŬŝůůĞĚEƵƌƐŝŶŐ&ĂĐŝůŝƚLJͬEƵƌƐŝŶŐ&ĂĐŝůŝƚLJĞĚƐ
zŽƵƌĨĂĐŝůŝƚLJ͛ƐDĞĚŝĐĂƌĞĂƉƉƌŽǀĞĚĂƌĞĂĐŽŶƐŝƐƚƐŽĨĂůůϱϰƐŬŝůůĞĚŶƵƌƐŝŶŐĨĂĐŝůŝƚLJďĞĚƐ͘
zŽƵƐŚŽƵůĚĂĚǀŝƐĞŽƵƌŽĨĨŝĐĞŽĨĂŶLJĐŚĂŶŐĞƐŝŶƐƚĂĨĨŝŶŐ͕ƐĞƌǀŝĐĞƐ͕ŽƌŽƌŐĂŶŝnjĂƚŝŽŶ͕ǁŚŝĐŚŵŝŐŚƚĂĨĨĞĐƚ
LJŽƵƌĐĞƌƚŝĨŝĐĂƚŝŽŶƐƚĂƚƵƐ͘
/Ĩ͕ĂƚƚŚĞƚŝŵĞŽĨLJŽƵƌŶĞdžƚƐƵƌǀĞLJ͕ǁĞĨŝŶĚLJŽƵƌĨĂĐŝůŝƚLJƚŽŶŽƚďĞŝŶƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞLJŽƵƌ
DĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚƉƌŽǀŝĚĞƌĂŐƌĞĞŵĞŶƚŵĂLJďĞƐƵďũĞĐƚƚŽŶŽŶͲƌĞŶĞǁĂůŽƌƚĞƌŵŝŶĂƚŝŽŶ͘
WůĞĂƐĞĐŽŶƚĂĐƚŵĞŝĨLJŽƵŚĂǀĞĂŶLJƋƵĞƐƚŝŽŶƐ͘
ŶĞƋƵĂůŽƉƉŽƌƚƵŶŝƚLJĞŵƉůŽLJĞƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϯϭ͕ϮϬϭϲ
WĂŐĞϮ
^ŝŶĐĞƌĞůLJ͕
<ĂƚĞ:ŽŚŶƐdŽŶ͕WƌŽŐƌĂŵ^ƉĞĐŝĂůŝƐƚ
WƌŽŐƌĂŵƐƐƵƌĂŶĐĞhŶŝƚ
>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶWƌŽŐƌĂŵ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ ϴϱĂƐƚ^ĞǀĞŶƚŚWůĂĐĞ͕^ƵŝƚĞϮϮϬ
W͘K͘ŽdžϲϰϵϬϬ
^ƚ͘WĂƵů͕DŝŶŶĞƐŽƚĂϱϱϭϲϰͲϬϵϬϬ
ŬĂƚĞ͘ũŽŚŶƐƚŽŶΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
dĞůĞƉŚŽŶĞ͗;ϲϱϭͿϮϬϭͲϯϵϵϮ&Ădž͗;ϲϱϭͿϮϭϱͲϵϲϵϳ
ĐĐ͗
>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶ&ŝůĞ
WZKdd/E'͕D/Ed/E/E'E/DWZKs/E'd,,>d,K&>>D/EE^KdE^
ůĞĐƚƌŽŶŝĐĂůůLJĚĞůŝǀĞƌĞĚ
DĂƌĐŚϯϭ͕ϮϬϭϲ
DƐ͘ƌŝĂŶŶĞtŽůƚĞƌƐ͕ĚŵŝŶŝƐƚƌĂƚŽƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
ϰϯϵtŝůůŝĂŵǀĞŶƵĞĂƐƚ͕W͘K͘Ždžϯϴϯ
ĂƐƐĞů͕DŝŶŶĞƐŽƚĂϱϱϯϮϱ
Z͗WƌŽũĞĐƚEƵŵďĞƌ&ϱϱϯϯϬϮϱ
ĞĂƌDƐ͘tŽůƚĞƌƐ͗
KŶDĂƌĐŚϮϭ͕ϮϬϭϲ͕ǁĞŝŶĨŽƌŵĞĚLJŽƵƚŚĂƚǁĞǁŽƵůĚƌĞĐŽŵŵĞŶĚĞŶĨŽƌĐĞŵĞŶƚƌĞŵĞĚŝĞƐďĂƐĞĚŽŶƚŚĞ
ĚĞĨŝĐŝĞŶĐŝĞƐĐŝƚĞĚďLJƚŚŝƐĞƉĂƌƚŵĞŶƚĨŽƌĂƐƚĂŶĚĂƌĚƐ ƵƌǀĞLJ͕ĐŽŵƉůĞƚĞĚŽŶDĂƌĐŚϭϬ͕ϮϬϭϲ͘dŚŝƐƐƵƌǀĞLJ
ĨŽƵŶĚƚŚĞŵŽƐƚƐĞƌŝŽƵƐĚĞĨŝĐŝĞŶĐŝĞƐƚŽďĞǁŝĚĞƐƉƌĞĂĚĚĞĨŝĐŝĞŶĐŝĞƐƚŚĂƚĐŽŶƐƚŝƚƵƚĞĚŶŽĂĐƚƵĂůŚĂƌŵǁŝƚŚ
ƉŽƚĞŶƚŝĂůĨŽƌŵŽƌĞƚŚĂŶŵŝŶŝŵĂůŚĂƌŵƚŚĂƚǁĂƐŶŽƚŝŵŵĞĚŝĂƚĞũĞŽƉĂƌĚLJ;>ĞǀĞů&ͿǁŚĞƌĞďLJĐŽƌƌĞĐƚŝŽŶƐ
ǁĞƌĞƌĞƋƵŝƌĞĚ͘
KŶDĂƌĐŚϯϭ͕ϮϬϭϲƚŚĞDŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨWƵďůŝĐ^ĂĨĞƚLJĐŽŵƉůĞƚĞĚĂWZƚŽǀĞƌŝĨLJƚŚĂƚLJŽƵƌ
ĨĂĐŝůŝƚLJŚĂĚĂĐŚŝĞǀĞĚĂŶĚŵĂŝŶƚĂŝŶĞĚĐŽŵƉůŝĂŶĐĞǁŝƚŚĨĞĚĞƌĂůĐĞƌƚŝĨŝĐĂƚŝŽŶĚĞĨŝĐŝĞŶĐŝĞƐŝƐƐƵĞĚƉƵƌƐƵĂŶƚ
ƚŽĂƐƚĂŶĚĂƌĚƐƵƌǀĞLJ͕ĐŽŵƉůĞƚĞĚŽŶDĂƌĐŚϭϬ͕ϮϬϭϲ͘tĞƉƌĞƐƵŵĞĚ͕ďĂƐĞĚŽŶLJŽƵƌƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶ͕
ƚŚĂƚLJŽƵƌĨĂĐŝůŝƚLJŚĂĚĐŽƌƌĞĐƚĞĚƚŚĞƐĞĚĞĨŝĐŝĞŶĐŝĞƐĂƐŽĨDĂƌĐŚϯϬ͕ϮϬϭϲ͘ĂƐĞĚŽŶŽƵƌWZ͕ǁĞŚĂǀĞ
ĚĞƚĞƌŵŝŶĞĚƚŚĂƚLJŽƵƌĨĂĐŝůŝƚLJŚĂƐĐŽƌƌĞĐƚĞĚƚŚĞĚĞĨŝĐŝĞŶĐŝĞƐŝƐƐƵĞĚƉƵƌƐƵĂŶƚƚŽŽƵƌƐƚĂŶĚĂƌĚƐƵƌǀĞLJ͕
ĐŽŵƉůĞƚĞĚŽŶDĂƌĐŚϭϬ͕ϮϬϭϲ͕ĞĨĨĞĐƚŝǀĞDĂƌĐŚϯϬ͕ϮϬϭϲĂŶĚƚŚĞƌĞĨŽƌĞƌĞŵĞĚŝĞƐŽƵƚůŝŶĞĚŝŶŽƵƌůĞƚƚĞƌ
ƚŽLJŽƵĚĂƚĞĚDĂƌĐŚϮϭ͕ϮϬϭϲ͕ǁŝůůŶŽƚďĞŝŵƉŽƐĞĚ͘
WůĞĂƐĞŶŽƚĞ͕ŝƚŝƐLJŽƵƌƌĞƐƉŽŶƐŝďŝůŝƚLJƚŽƐŚĂƌĞƚŚĞŝŶĨŽƌŵĂƚŝŽŶĐŽŶƚĂŝŶĞĚŝŶƚŚŝƐůĞƚƚĞƌĂŶĚƚŚĞƌĞƐƵůƚƐŽĨ
ƚŚŝƐǀŝƐŝƚǁŝƚŚƚŚĞWƌĞƐŝĚĞŶƚŽĨLJŽƵƌĨĂĐŝůŝƚLJΖƐ'ŽǀĞƌŶŝŶŐŽĚLJ͘ &ĞĞůĨƌĞĞƚŽĐŽŶƚĂĐƚŵĞŝĨLJŽƵŚĂǀĞƋƵĞƐƚŝŽŶƐ͘
ŶĞƋƵĂůŽƉƉŽƌƚƵŶŝƚLJĞŵƉůŽLJĞƌ͘
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϯϭ͕ϮϬϭϲ
WĂŐĞϮ
^ŝŶĐĞƌĞůLJ͕
<ĂƚĞ:ŽŚŶƐdŽŶ͕WƌŽŐƌĂŵ^ƉĞĐŝĂůŝƐƚ
WƌŽŐƌĂŵƐƐƵƌĂŶĐĞhŶŝƚ
>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶWƌŽŐƌĂŵ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ ϴϱĂƐƚ^ĞǀĞŶƚŚWůĂĐĞ͕^ƵŝƚĞϮϮϬ
W͘K͘ŽdžϲϰϵϬϬ
^ƚ͘WĂƵů͕DŝŶŶĞƐŽƚĂϱϱϭϲϰͲϬϵϬϬ
ŬĂƚĞ͘ũŽŚŶƐƚŽŶΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
dĞůĞƉŚŽŶĞ͗;ϲϱϭͿϮϬϭͲϯϵϵϮ&Ădž͗;ϲϱϭͿϮϭϱͲϵϲϵϳ
ŶĐůŽƐƵƌĞ
ĐĐ͗>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶ&ŝůĞ DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
POST-CERTIFICATION REVISIT REPORT
PROVIDER / SUPPLIER / CLIA /
IDENTIFICATION NUMBER
245533
Y1
MULTIPLE CONSTRUCTION
A. Building 01 - MAIN BUILDING 01
B. Wing
DATE OF REVISIT
Y2
NAME OF FACILITY
STREET ADDRESS, CITY, STATE, ZIP CODE
LAKESIDE HEALTH CARE CENTER
439 WILLIAM AVENUE EAST, PO BOX 383
3/31/2016
Y3
DASSEL, MN 55325
This report is completed by a qualified State surveyor for the Medicare, Medicaid and/or Clinical Laboratory Improvement Amendments
program, to show those deficiencies previously reported on the CMS-2567, Statement of Deficiencies and Plan of Correction, that have been
corrected and the date such corrective action was accomplished. Each deficiency should be fully identified using either the regulation or LSC
provision number and the identification prefix code previously shown on the CMS-2567 (prefix codes shown to the left of each requirement on
the survey report form).
ITEM
DATE
ITEM
Y4
Y5
Y4
ID Prefix
Correction
ID Prefix
Completed
Reg. #
03/30/2016
LSC
ID Prefix
Correction
Reg. #
Completed
Reg. #
LSC
NFPA 101
K0050
LSC
DATE
Y5
ITEM
DATE
Y4
Y5
Correction
ID Prefix
Correction
Completed
Reg. #
Completed
03/30/2016
LSC
ID Prefix
Correction
ID Prefix
Correction
Reg. #
Completed
Reg. #
Completed
NFPA 101
K0144
LSC
LSC
ID Prefix
Correction
ID Prefix
Correction
ID Prefix
Correction
Reg. #
Completed
Reg. #
Completed
Reg. #
Completed
LSC
LSC
LSC
ID Prefix
Correction
ID Prefix
Correction
ID Prefix
Correction
Reg. #
Completed
Reg. #
Completed
Reg. #
Completed
LSC
LSC
LSC
ID Prefix
Correction
ID Prefix
Correction
ID Prefix
Correction
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Completed
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Completed
Reg. #
Completed
LSC
LSC
REVIEWED BY
STATE AGENCY
REVIEWED BY
(INITIALS)
REVIEWED BY
CMS RO
REVIEWED BY
(INITIALS)
TL/KJ
FOLLOWUP TO SURVEY COMPLETED ON
3/9/2016
Form CMS - 2567B (09/92) EF (11/06)
LSC
DATE
SIGNATURE OF SURVEYOR
03/31/2016
DATE
DATE
34764
03/31/2016
TITLE
DATE
CHECK FOR ANY UNCORRECTED DEFICIENCIES. WAS A SUMMARY OF
UNCORRECTED DEFICIENCIES (CMS-2567) SENT TO THE FACILITY?
Page 1 of 1
EVENT ID:
YES
9FNP22
NO
DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL
ID: 9FNP
PART I - TO BE COMPLETED BY THE STATE SURVEY AGENCY
1. MEDICARE/MEDICAID PROVIDER NO.
245533
(L1)
(L4) 439 WILLIAM AVENUE EAST, PO BOX 383
2.STATE VENDOR OR MEDICAID NO.
(L2)
314182000
5. EFFECTIVE DATE CHANGE OF OWNERSHIP
03/10/2016
8. ACCREDITATION STATUS:
0 Unaccredited
2 AOA
05 HHA
09 ESRD
13 PTIP
(L34)
02 SNF/NF/Dual
06 PRTF
10 NF
14 CORF
(L10)
03 SNF/NF/Distinct
07 X-Ray
11 ICF/IID
15 ASC
04 SNF
08 OPT/SP
12 RHC
16 HOSPICE
1 TJC
3 Other
To
(b) :
1. Initial
2. Recertification
3. Termination
4. CHOW
5. Validation
6. Complaint
7. On-Site Visit
9. Other
8. Full Survey After Complaint
22 CLIA
FISCAL YEAR ENDING DATE:
(L35)
09/30
10.THE FACILITY IS CERTIFIED AS:
A. In Compliance With
And/Or Approved Waivers Of The Following Requirements:
Program Requirements
Compliance Based On:
1. Acceptable POC
12.Total Facility Beds
54 (L18)
13.Total Certified Beds
54 (L17)
X B. Not in Compliance with Program
Requirements and/or Applied Waivers:
2. Technical Personnel
6. Scope of Services Limit
3. 24 Hour RN
7. Medical Director
4. 7-Day RN (Rural SNF)
8. Patient Room Size
5. Life Safety Code
9. Beds/Room
(L12)
B*
* Code:
15. FACILITY MEETS
14. LTC CERTIFIED BED BREAKDOWN
18 SNF
2 (L8)
(L7)
01 Hospital
11. .LTC PERIOD OF CERTIFICATION
(a) :
02
7. PROVIDER/SUPPLIER CATEGORY
(L9)
From
(L6) 55325
(L5) DASSEL, MN
6. DATE OF SURVEY
Facility ID: 00773
4. TYPE OF ACTION:
3. NAME AND ADDRESS OF FACILITY
(L3) LAKESIDE HEALTH CARE CENTER
18/19 SNF
19 SNF
ICF
IID
(L39)
(L42)
(L43)
(L15)
1861 (e) (1) or 1861 (j) (1):
54
(L37)
(L38)
16. STATE SURVEY AGENCY REMARKS (IF APPLICABLE SHOW LTC CANCELLATION DATE):
17. SURVEYOR SIGNATURE
Date :
Kimberly Swenson, DSFM
18. STATE SURVEY AGENCY APPROVAL
03/23/2016
(L19)
Date:
Kate JohnsTon, Program Specialist
03/30/2016
(L20)
PART II - TO BE COMPLETED BY HCFA REGIONAL OFFICE OR SINGLE STATE AGENCY
19. DETERMINATION OF ELIGIBILITY
20. COMPLIANCE WITH CIVIL
RIGHTS ACT:
1. Facility is Eligible to Participate
21.
1. Statement of Financial Solvency (HCFA-2572)
2. Ownership/Control Interest Disclosure Stmt (HCFA-1513)
3. Both of the Above :
2. Facility is not Eligible
(L21)
22. ORIGINAL DATE
23. LTC AGREEMENT
24. LTC AGREEMENT
BEGINNING DATE
OF PARTICIPATION
26. TERMINATION ACTION:
ENDING DATE
VOLUNTARY
01/24/1989
(L24)
(L41)
25. LTC EXTENSION DATE:
(L25)
(L30)
00
05-Fail to Meet Health/Safety
02-Dissatisfaction W/ Reimbursement
06-Fail to Meet Agreement
03-Risk of Involuntary Termination
27. ALTERNATIVE SANCTIONS
04-Other Reason for Withdrawal
A. Suspension of Admissions:
OTHER
07-Provider Status Change
00-Active
(L44)
(L27)
INVOLUNTARY
01-Merger, Closure
B. Rescind Suspension Date:
(L45)
28. TERMINATION DATE:
30. REMARKS
29. INTERMEDIARY/CARRIER NO.
03001
(L28)
31. RO RECEIPT OF CMS-1539
3RVWHG&R
32. DETERMINATION OF APPROVAL DATE
(L32)
FORM CMS-1539 (7-84) (Destroy Prior Editions)
(L31)
(L33)
DETERMINATION APPROVAL
020499
WZKdd/E'͕D/Ed/E/E'E/DWZKs/E'd,,>d,K&>>D/EE^KdE^
ůĞĐƚƌŽŶŝĐĂůůLJĚĞůŝǀĞƌĞĚ
DĂƌĐŚϮϭ͕ϮϬϭϲ
DƐ͘ƌŝĂŶŶĞtŽůƚĞƌƐ͕ĚŵŝŶŝƐƚƌĂƚŽƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
ϰϯϵtŝůůŝĂŵǀĞŶƵĞĂƐƚ͕W͘K͘Ždžϯϴϯ
ĂƐƐĞů͕DŝŶŶĞƐŽƚĂϱϱϯϮϱ
Z͗WƌŽũĞĐƚEƵŵďĞƌ^ϱϱϯϯϬϮϱ
ĞĂƌDƐ͘tŽůƚĞƌƐ͗
KŶDĂƌĐŚϭϬ͕ϮϬϭϲ͕ĂƐƚĂŶĚĂƌĚƐƵƌǀĞLJǁĂƐĐŽŵƉůĞƚĞĚĂƚLJŽƵƌĨĂĐŝůŝƚLJďLJƚŚĞDŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚƐŽĨ
,ĞĂůƚŚĂŶĚWƵďůŝĐ^ĂĨĞƚLJƚŽĚĞƚĞƌŵŝŶĞŝĨLJŽƵƌĨĂĐŝůŝƚLJǁĂƐŝŶĐŽŵƉůŝĂŶĐĞǁŝƚŚ&ĞĚĞƌĂůƉĂƌƚŝĐŝƉĂƚŝŽŶ
ƌĞƋƵŝƌĞŵĞŶƚƐĨŽƌƐŬŝůůĞĚŶƵƌƐŝŶŐĨĂĐŝůŝƚŝĞƐĂŶĚͬŽƌŶƵƌƐŝŶŐĨĂĐŝůŝƚŝĞƐƉĂƌƚŝĐŝƉĂƚŝŶŐŝŶƚŚĞDĞĚŝĐĂƌĞĂŶĚͬŽƌ
DĞĚŝĐĂŝĚƉƌŽŐƌĂŵƐ͘ dŚŝƐƐƵƌǀĞLJĨŽƵŶĚƚŚĞŵŽƐƚƐĞƌŝŽƵƐĚĞĨŝĐŝĞŶĐŝĞƐŝŶLJŽƵƌĨĂĐŝůŝƚLJƚŽďĞǁŝĚĞƐƉƌĞĂĚĚĞĨŝĐŝĞŶĐŝĞƐƚŚĂƚ
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;>ĞǀĞů&Ϳ͕ĂƐĞǀŝĚĞŶĐĞĚďLJƚŚĞĂƚƚĂĐŚĞĚD^ͲϮϱϲϳǁŚĞƌĞďLJĐŽƌƌĞĐƚŝŽŶƐĂƌĞƌĞƋƵŝƌĞĚ͘ĐŽƉLJŽĨƚŚĞ
^ƚĂƚĞŵĞŶƚŽĨĞĨŝĐŝĞŶĐŝĞƐ;D^ͲϮϱϲϳͿŝƐĞŶĐůŽƐĞĚ͘ WůĞĂƐĞŶŽƚĞƚŚĂƚƚŚŝƐŶŽƚŝĐĞĚŽĞƐŶŽƚĐŽŶƐƚŝƚƵƚĞĨŽƌŵĂůŶŽƚŝĐĞŽĨŝŵƉŽƐŝƚŝŽŶŽĨĂůƚĞƌŶĂƚŝǀĞƌĞŵĞĚŝĞƐŽƌ
ƚĞƌŵŝŶĂƚŝŽŶŽĨLJŽƵƌƉƌŽǀŝĚĞƌĂŐƌĞĞŵĞŶƚ͘^ŚŽƵůĚƚŚĞĞŶƚĞƌƐĨŽƌDĞĚŝĐĂƌĞΘDĞĚŝĐĂŝĚ^ĞƌǀŝĐĞƐ
ĚĞƚĞƌŵŝŶĞƚŚĂƚƚĞƌŵŝŶĂƚŝŽŶŽƌĂŶLJŽƚŚĞƌƌĞŵĞĚLJŝƐǁĂƌƌĂŶƚĞĚ͕ŝƚǁŝůůƉƌŽǀŝĚĞLJŽƵǁŝƚŚĂƐĞƉĂƌĂƚĞ
ĨŽƌŵĂůŶŽƚŝĨŝĐĂƚŝŽŶŽĨƚŚĂƚĚĞƚĞƌŵŝŶĂƚŝŽŶ͘
dŚŝƐůĞƚƚĞƌƉƌŽǀŝĚĞƐŝŵƉŽƌƚĂŶƚŝŶĨŽƌŵĂƚŝŽŶƌĞŐĂƌĚŝŶŐLJŽƵƌƌĞƐƉŽŶƐĞƚŽƚŚĞƐĞĚĞĨŝĐŝĞŶĐŝĞƐĂŶĚĂĚĚƌĞƐƐĞƐ
ƚŚĞĨŽůůŽǁŝŶŐŝƐƐƵĞƐ͗
KƉƉŽƌƚƵŶŝƚLJƚŽŽƌƌĞĐƚͲƚŚĞĨĂĐŝůŝƚLJŝƐĂůůŽǁĞĚĂŶŽƉƉŽƌƚƵŶŝƚLJƚŽĐŽƌƌĞĐƚŝĚĞŶƚŝĨŝĞĚĚĞĨŝĐŝĞŶĐŝĞƐ
KƉƉŽƌƚƵŶŝƚLJƚŽŽƌƌĞĐƚͲƚŚĞĨĂĐŝůŝƚLJŝƐĂůůŽǁĞĚĂŶŽƉƉŽƌƚƵŶŝƚLJƚŽĐŽƌƌĞĐƚŝĚĞŶƚŝĨŝĞĚĚĞĨŝĐŝĞŶĐŝĞƐ
ďĞĨŽƌĞƌĞŵĞĚŝĞƐĂƌĞŝŵƉŽƐĞĚ͖
ůĞĐƚƌŽŶŝĐWůĂŶŽĨŽƌƌĞĐƚŝŽŶͲǁŚĞŶĂƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶǁŝůůďĞĚƵĞĂŶĚƚŚĞŝŶĨŽƌŵĂƚŝŽŶƚŽďĞ
ůĞĐƚƌŽŶŝĐWůĂŶŽĨŽƌƌĞĐƚŝŽŶͲǁŚĞŶĂƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶǁŝůůďĞĚƵĞĂŶĚƚŚĞŝŶĨŽƌŵĂƚŝŽŶƚŽďĞ
ĐŽŶƚĂŝŶĞĚŝŶƚŚĂƚĚŽĐƵŵĞŶƚ͖ ZĞŵĞĚŝĞƐͲƚŚĞƚLJƉĞŽĨƌĞŵĞĚŝĞƐƚŚĂƚǁŝůůďĞŝŵƉŽƐĞĚǁŝƚŚƚŚĞĂƵƚŚŽƌŝnjĂƚŝŽŶŽĨƚŚĞ
ZĞŵĞĚŝĞƐͲƚŚĞƚLJƉĞŽĨƌĞŵĞĚŝĞƐƚŚĂƚǁŝůůďĞŝŵƉŽƐĞĚǁŝƚŚƚŚĞĂƵƚŚŽƌŝnjĂƚŝŽŶŽĨƚŚĞ
ĞŶƚĞƌƐĨŽƌDĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚ^ĞƌǀŝĐĞƐ;D^ͿŝĨƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞŝƐŶŽƚĂƚƚĂŝŶĞĚĂƚ
ƚŚĞƚŝŵĞŽĨĂƌĞǀŝƐŝƚ͖
ŶĞƋƵĂůŽƉƉŽƌƚƵŶŝƚLJĞŵƉůŽLJĞƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϮϭ͕ϮϬϭϲ
WĂŐĞϮ
WŽƚĞŶƚŝĂůŽŶƐĞƋƵĞŶĐĞƐͲƚŚĞĐŽŶƐĞƋƵĞŶĐĞƐŽĨŶŽƚĂƚƚĂŝŶŝŶŐƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞϯĂŶĚϲ
WŽƚĞŶƚŝĂůŽŶƐĞƋƵĞŶĐĞƐͲƚŚĞĐŽŶƐĞƋƵĞŶĐĞƐŽĨŶŽƚĂƚƚĂŝŶŝŶŐƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞϯĂŶĚϲ
ŵŽŶƚŚƐĂĨƚĞƌƚŚĞƐƵƌǀĞLJĚĂƚĞ͖ĂŶĚ
/ŶĨŽƌŵĂůŝƐƉƵƚĞZĞƐŽůƵƚŝŽŶͲLJŽƵƌƌŝŐŚƚƚŽƌĞƋƵĞƐƚĂŶŝŶĨŽƌŵĂůƌĞĐŽŶƐŝĚĞƌĂƚŝŽŶƚŽĚŝƐƉƵƚĞƚŚĞ
/ŶĨŽƌŵĂůŝƐƉƵƚĞZĞƐŽůƵƚŝŽŶͲLJŽƵƌƌŝŐŚƚƚŽƌĞƋƵĞƐƚĂŶŝŶĨŽƌŵĂůƌĞĐŽŶƐŝĚĞƌĂƚŝŽŶƚŽĚŝƐƉƵƚĞƚŚĞ
ĂƚƚĂĐŚĞĚĚĞĨŝĐŝĞŶĐŝĞƐ͘
ĂƚƚĂĐŚĞĚĚĞĨŝĐŝĞŶĐŝĞƐ͘ WůĞĂƐĞŶŽƚĞ͕ŝƚŝƐLJŽƵƌƌĞƐƉŽŶƐŝďŝůŝƚLJƚŽƐŚĂƌĞƚŚĞŝŶĨŽƌŵĂƚŝŽŶĐŽŶƚĂŝŶĞĚŝŶƚŚŝƐůĞƚƚĞƌĂŶĚƚŚĞƌĞƐƵůƚƐŽĨ
ƚŚŝƐǀŝƐŝƚǁŝƚŚƚŚĞWƌĞƐŝĚĞŶƚŽĨLJŽƵƌĨĂĐŝůŝƚLJΖƐ'ŽǀĞƌŶŝŶŐŽĚLJ͘
WZdDEdKEdd
YƵĞƐƚŝŽŶƐƌĞŐĂƌĚŝŶŐƚŚŝƐůĞƚƚĞƌĂŶĚĂůůĚŽĐƵŵĞŶƚƐƐƵďŵŝƚƚĞĚĂƐĂƌĞƐƉŽŶƐĞƚŽƚŚĞƌĞƐŝĚĞŶƚĐĂƌĞ
ĚĞĨŝĐŝĞŶĐŝĞƐ;ƚŚŽƐĞƉƌĞĐĞĚĞĚďLJĂΗ&ΗƚĂŐͿ͕ŝ͘Ğ͕͘ƚŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶƐŚŽƵůĚďĞĚŝƌĞĐƚĞĚƚŽ͗
:ĞƐƐŝĐĂ^ĞůůŶĞƌ͕hŶŝƚ^ƵƉĞƌǀŝƐŽƌ
:ĞƐƐŝĐĂ^ĞůůŶĞƌ͕hŶŝƚ^ƵƉĞƌǀŝƐŽƌ
DŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚ
^ƚ͘ůŽƵĚ^ƵƌǀĞLJdĞĂŵ
>ŝĐĞŶƐŝŶŐΘĞƌƚŝĨŝĐĂƚŝŽŶ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ DŝĚƚŽǁŶ^ƋƵĂƌĞ
ϯϯϯϯtĞƐƚŝǀŝƐŝŽŶ͕ηϮϭϮ ^ƚ͘ůŽƵĚ͕DŝŶŶĞƐŽƚĂϱϲϯϬϭ
dĞůĞƉŚŽŶĞ͗;ϯϮϬͿϮϮϯͲϳϯϰϯ &Ădž͗;ϯϮϬͿϮϮϯͲϳϯϰϴ
KWWKZdhE/dzdKKZZd
ͲdK&KZZd/KEͲZD/^
KWWKZdhE/dzdKKZZdͲdK&KZZd/KEͲZD/^
ƐŽĨ:ĂŶƵĂƌLJϭϰ͕ϮϬϬϬ͕D^ƉŽůŝĐLJƌĞƋƵŝƌĞƐƚŚĂƚĨĂĐŝůŝƚŝĞƐǁŝůůŶŽƚďĞŐŝǀĞŶĂŶŽƉƉŽƌƚƵŶŝƚLJƚŽĐŽƌƌĞĐƚ
ďĞĨŽƌĞƌĞŵĞĚŝĞƐǁŝůůďĞŝŵƉŽƐĞĚǁŚĞŶĂĐƚƵĂůŚĂƌŵǁĂƐĐŝƚĞĚĂƚƚŚĞůĂƐƚƐƚĂŶĚĂƌĚŽƌŝŶƚĞƌǀĞŶŝŶŐ
ƐƵƌǀĞLJĂŶĚĂůƐŽĐŝƚĞĚĂƚƚŚĞĐƵƌƌĞŶƚƐƵƌǀĞLJ͘zŽƵƌĨĂĐŝůŝƚLJĚŽĞƐŶŽƚŵĞĞƚƚŚŝƐĐƌŝƚĞƌŝŽŶ͘dŚĞƌĞĨŽƌĞ͕ŝĨ
LJŽƵƌĨĂĐŝůŝƚLJŚĂƐŶŽƚĂĐŚŝĞǀĞĚƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞďLJƉƌŝůϭϵ͕ϮϬϭϲ͕ƚŚĞĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚǁŝůů
ŝŵƉŽƐĞƚŚĞĨŽůůŽǁŝŶŐƌĞŵĞĚLJ͗
ͻ^ƚĂƚĞDŽŶŝƚŽƌŝŶŐ͘;ϰϮ&Zϰϴϴ͘ϰϮϮͿ
/ŶĂĚĚŝƚŝŽŶ͕ƚŚĞĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚŝƐƌĞĐŽŵŵĞŶĚŝŶŐƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞƚŚĂƚŝĨLJŽƵƌĨĂĐŝůŝƚLJ
ŚĂƐŶŽƚĂĐŚŝĞǀĞĚƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞďLJƉƌŝůϭϵ͕ϮϬϭϲƚŚĞĨŽůůŽǁŝŶŐƌĞŵĞĚLJǁŝůůďĞŝŵƉŽƐĞĚ͗
ͻWĞƌŝŶƐƚĂŶĐĞĐŝǀŝůŵŽŶĞLJƉĞŶĂůƚLJ͘;ϰϮ&Zϰϴϴ͘ϰϯϬƚŚƌŽƵŐŚϰϴϴ͘ϰϰϰͿ
>dZKE/W>EK&KZZd/KE;ĞWŽͿ
ŶĞWŽĨŽƌƚŚĞĚĞĨŝĐŝĞŶĐŝĞƐŵƵƐƚďĞƐƵďŵŝƚƚĞĚǁŝƚŚŝŶƚĞŶĐĂůĞŶĚĂƌĚĂLJƐŽĨLJŽƵƌƌĞĐĞŝƉƚŽĨƚŚŝƐůĞƚƚĞƌ͘
ƚĞŶĐĂůĞŶĚĂƌĚĂLJƐ
ƚĞŶĐĂůĞŶĚĂƌĚĂLJƐ
zŽƵƌĞWŽŵƵƐƚ͗
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϮϭ͕ϮϬϭϲ
WĂŐĞϯ
Ͳ
ĚĚƌĞƐƐŚŽǁĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶǁŝůůďĞĂĐĐŽŵƉůŝƐŚĞĚĨŽƌƚŚŽƐĞƌĞƐŝĚĞŶƚƐĨŽƵŶĚƚŽŚĂǀĞ
ďĞĞŶĂĨĨĞĐƚĞĚďLJƚŚĞĚĞĨŝĐŝĞŶƚƉƌĂĐƚŝĐĞ͖
Ͳ
ĚĚƌĞƐƐŚŽǁƚŚĞĨĂĐŝůŝƚLJǁŝůůŝĚĞŶƚŝĨLJŽƚŚĞƌƌĞƐŝĚĞŶƚƐŚĂǀŝŶŐƚŚĞƉŽƚĞŶƚŝĂůƚŽďĞĂĨĨĞĐƚĞĚ
ďLJƚŚĞƐĂŵĞĚĞĨŝĐŝĞŶƚƉƌĂĐƚŝĐĞ͖
Ͳ
ĚĚƌĞƐƐǁŚĂƚŵĞĂƐƵƌĞƐǁŝůůďĞƉƵƚŝŶƚŽƉůĂĐĞŽƌƐLJƐƚĞŵŝĐĐŚĂŶŐĞƐŵĂĚĞƚŽĞŶƐƵƌĞƚŚĂƚ
ƚŚĞĚĞĨŝĐŝĞŶƚƉƌĂĐƚŝĐĞǁŝůůŶŽƚƌĞĐƵƌ͖
Ͳ
/ŶĚŝĐĂƚĞŚŽǁƚŚĞĨĂĐŝůŝƚLJƉůĂŶƐƚŽŵŽŶŝƚŽƌŝƚƐƉĞƌĨŽƌŵĂŶĐĞƚŽŵĂŬĞƐƵƌĞƚŚĂƚƐŽůƵƚŝŽŶƐ ĂƌĞƐƵƐƚĂŝŶĞĚ͘dŚĞĨĂĐŝůŝƚLJŵƵƐƚĚĞǀĞůŽƉĂƉůĂŶĨŽƌĞŶƐƵƌŝŶŐƚŚĂƚĐŽƌƌĞĐƚŝŽŶŝƐĂĐŚŝĞǀĞĚ ĂŶĚƐƵƐƚĂŝŶĞĚ͘dŚŝƐƉůĂŶŵƵƐƚďĞŝŵƉůĞŵĞŶƚĞĚ͕ĂŶĚƚŚĞĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶĞǀĂůƵĂƚĞĚĨŽƌ ŝƚƐĞĨĨĞĐƚŝǀĞŶĞƐƐ͘dŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶŝƐŝŶƚĞŐƌĂƚĞĚŝŶƚŽƚŚĞƋƵĂůŝƚLJĂƐƐƵƌĂŶĐĞƐLJƐƚĞŵ͖
Ͳ
/ŶĐůƵĚĞĚĂƚĞƐǁŚĞŶĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶǁŝůůďĞĐŽŵƉůĞƚĞĚ͘dŚĞĐŽƌƌĞĐƚŝǀĞĂĐƚŝŽŶ
ĐŽŵƉůĞƚŝŽŶĚĂƚĞƐŵƵƐƚďĞĂĐĐĞƉƚĂďůĞƚŽƚŚĞ^ƚĂƚĞ͘/ĨƚŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶŝƐ
ƵŶĂĐĐĞƉƚĂďůĞĨŽƌĂŶLJƌĞĂƐŽŶ͕ƚŚĞ^ƚĂƚĞǁŝůůŶŽƚŝĨLJƚŚĞĨĂĐŝůŝƚLJ͘/ĨƚŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶŝƐ
ĂĐĐĞƉƚĂďůĞ͕ƚŚĞ^ƚĂƚĞǁŝůůŶŽƚŝĨLJƚŚĞĨĂĐŝůŝƚLJ͘&ĂĐŝůŝƚŝĞƐƐŚŽƵůĚďĞĐĂƵƚŝŽŶĞĚƚŚĂƚƚŚĞLJĂƌĞ
ƵůƚŝŵĂƚĞůLJĂĐĐŽƵŶƚĂďůĞĨŽƌƚŚĞŝƌŽǁŶĐŽŵƉůŝĂŶĐĞ͕ĂŶĚƚŚĂƚƌĞƐƉŽŶƐŝďŝůŝƚLJŝƐŶŽƚĂůůĞǀŝĂƚĞĚ
ŝŶĐĂƐĞƐǁŚĞƌĞŶŽƚŝĨŝĐĂƚŝŽŶĂďŽƵƚƚŚĞĂĐĐĞƉƚĂďŝůŝƚLJŽĨƚŚĞŝƌƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶŝƐŶŽƚ
ŵĂĚĞƚŝŵĞůLJ͘dŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶǁŝůůƐĞƌǀĞĂƐƚŚĞĨĂĐŝůŝƚLJ͛ƐĂůůĞŐĂƚŝŽŶŽĨĐŽŵƉůŝĂŶĐĞ͖
ĂŶĚ͕
Ͳ
^ƵďŵŝƚĞůĞĐƚƌŽŶŝĐĂůůLJƚŽĂĐŬŶŽǁůĞĚŐĞLJŽƵƌƌĞĐĞŝƉƚŽĨƚŚĞĞůĞĐƚƌŽŶŝĐϮϱϲϳ͕LJŽƵƌƌĞǀŝĞǁ
ĂŶĚLJŽƵƌĞWŽƐƵďŵŝƐƐŝŽŶ͘
/ĨĂŶĂĐĐĞƉƚĂďůĞĞWŽŝƐŶŽƚƌĞĐĞŝǀĞĚǁŝƚŚŝŶϭϬĐĂůĞŶĚĂƌĚĂLJƐĨƌŽŵƚŚĞƌĞĐĞŝƉƚŽĨƚŚŝƐůĞƚƚĞƌ͕ǁĞǁŝůů
ƌĞĐŽŵŵĞŶĚƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞƚŚĂƚŽŶĞŽƌŵŽƌĞŽĨƚŚĞĨŽůůŽǁŝŶŐƌĞŵĞĚŝĞƐďĞŝŵƉŽƐĞĚ͗
ͻKƉƚŝŽŶĂůĚĞŶŝĂůŽĨƉĂLJŵĞŶƚĨŽƌŶĞǁDĞĚŝĐĂƌĞĂŶĚDĞĚŝĐĂŝĚĂĚŵŝƐƐŝŽŶƐ;ϰϮ&Zϰϴϴ͘ϰϭϳ;ĂͿͿ͖
ͻWĞƌĚĂLJĐŝǀŝůŵŽŶĞLJƉĞŶĂůƚLJ;ϰϮ&Zϰϴϴ͘ϰϯϬƚŚƌŽƵŐŚϰϴϴ͘ϰϰϰͿ͘
&ĂŝůƵƌĞƚŽƐƵďŵŝƚĂŶĂĐĐĞƉƚĂďůĞĞWŽĐŽƵůĚĂůƐŽƌĞƐƵůƚŝŶƚŚĞƚĞƌŵŝŶĂƚŝŽŶŽĨLJŽƵƌĨĂĐŝůŝƚLJ͛ƐDĞĚŝĐĂƌĞ
ĂŶĚͬŽƌDĞĚŝĐĂŝĚĂŐƌĞĞŵĞŶƚ͘
WZ^hDWd/KEK&KDW>/EͲZ/>>>'d/KEK&KDW>/E
dŚĞĨĂĐŝůŝƚLJΖƐĞWŽǁŝůůƐĞƌǀĞĂƐLJŽƵƌĂůůĞŐĂƚŝŽŶŽĨĐŽŵƉůŝĂŶĐĞƵƉŽŶƚŚĞĞƉĂƌƚŵĞŶƚΖƐĂĐĐĞƉƚĂŶĐĞ͘zŽƵƌ
ƐŝŐŶĂƚƵƌĞĂƚƚŚĞďŽƚƚŽŵŽĨƚŚĞĨŝƌƐƚƉĂŐĞŽĨƚŚĞD^ͲϮϱϲϳĨŽƌŵǁŝůůďĞƵƐĞĚĂƐǀĞƌŝĨŝĐĂƚŝŽŶŽĨ
ĐŽŵƉůŝĂŶĐĞ͘/ŶŽƌĚĞƌĨŽƌLJŽƵƌĂůůĞŐĂƚŝŽŶŽĨĐŽŵƉůŝĂŶĐĞƚŽďĞĂĐĐĞƉƚĂďůĞƚŽƚŚĞĞƉĂƌƚŵĞŶƚ͕ƚŚĞĞWŽ
ŵƵƐƚŵĞĞƚƚŚĞĐƌŝƚĞƌŝĂůŝƐƚĞĚŝŶƚŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶƐĞĐƚŝŽŶĂďŽǀĞ͘zŽƵǁŝůůďĞŶŽƚŝĨŝĞĚďLJƚŚĞ
DŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚ͕>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶWƌŽŐƌĂŵƐƚĂĨĨĂŶĚͬŽƌƚŚĞĞƉĂƌƚŵĞŶƚŽĨ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϮϭ͕ϮϬϭϲ
WĂŐĞϰ
WƵďůŝĐ^ĂĨĞƚLJ͕^ƚĂƚĞ&ŝƌĞDĂƌƐŚĂůŝǀŝƐŝŽŶƐƚĂĨĨ͕ŝĨLJŽƵƌĞWŽĨŽƌƚŚĞƌĞƐƉĞĐƚŝǀĞĚĞĨŝĐŝĞŶĐŝĞƐ;ŝĨĂŶLJͿŝƐ
ĂĐĐĞƉƚĂďůĞ͘
sZ/&/d/KEK&^h^dEd/>KDW>/E
hƉŽŶƌĞĐĞŝƉƚŽĨĂŶĂĐĐĞƉƚĂďůĞĞWŽ͕ĂŶŽŶƐŝƚĞƌĞǀŝƐŝƚŽĨLJŽƵƌĨĂĐŝůŝƚLJŵĂLJďĞĐŽŶĚƵĐƚĞĚƚŽǀĂůŝĚĂƚĞƚŚĂƚ
ƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞǁŝƚŚƚŚĞƌĞŐƵůĂƚŝŽŶƐŚĂƐďĞĞŶĂƚƚĂŝŶĞĚŝŶĂĐĐŽƌĚĂŶĐĞǁŝƚŚLJŽƵƌǀĞƌŝĨŝĐĂƚŝŽŶ͘
WŽƐƚĞƌƚŝĨŝĐĂƚŝŽŶZĞǀŝƐŝƚ;WZͿǁŝůůŽĐĐƵƌĂĨƚĞƌƚŚĞĚĂƚĞLJŽƵŝĚĞŶƚŝĨŝĞĚƚŚĂƚĐŽŵƉůŝĂŶĐĞǁĂƐĂĐŚŝĞǀĞĚŝŶ
LJŽƵƌƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶ͘
/ĨƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞŚĂƐďĞĞŶĂĐŚŝĞǀĞĚ͕ĐĞƌƚŝĨŝĐĂƚŝŽŶŽĨLJŽƵƌĨĂĐŝůŝƚLJŝŶƚŚĞDĞĚŝĐĂƌĞĂŶĚͬŽƌ DĞĚŝĐĂŝĚƉƌŽŐƌĂŵ;ƐͿǁŝůůďĞĐŽŶƚŝŶƵĞĚĂŶĚƌĞŵĞĚŝĞƐǁŝůůŶŽƚďĞŝŵƉŽƐĞĚ͘ŽŵƉůŝĂŶĐĞŝƐĐĞƌƚŝĨŝĞĚĂƐŽĨ
ƚŚĞůĂƚĞƐƚĐŽƌƌĞĐƚŝŽŶĚĂƚĞŽŶƚŚĞĂƉƉƌŽǀĞĚĞWŽ͕ƵŶůĞƐƐŝƚŝƐĚĞƚĞƌŵŝŶĞĚƚŚĂƚĞŝƚŚĞƌĐŽƌƌĞĐƚŝŽŶĂĐƚƵĂůůLJ
ŽĐĐƵƌƌĞĚďĞƚǁĞĞŶƚŚĞůĂƚĞƐƚĐŽƌƌĞĐƚŝŽŶĚĂƚĞŽŶƚŚĞĞWŽĂŶĚƚŚĞĚĂƚĞŽĨƚŚĞĨŝƌƐƚƌĞǀŝƐŝƚ͕ŽƌĐŽƌƌĞĐƚŝŽŶ
ŽĐĐƵƌƌĞĚƐŽŽŶĞƌƚŚĂŶƚŚĞůĂƚĞƐƚĐŽƌƌĞĐƚŝŽŶĚĂƚĞŽŶƚŚĞĞWŽ͘
KƌŝŐŝŶĂůĚĞĨŝĐŝĞŶĐŝĞƐŶŽƚĐŽƌƌĞĐƚĞĚ
/ĨLJŽƵƌĨĂĐŝůŝƚLJŚĂƐŶŽƚĂĐŚŝĞǀĞĚƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞ͕ǁĞǁŝůůŝŵƉŽƐĞƚŚĞƌĞŵĞĚŝĞƐĚĞƐĐƌŝďĞĚĂďŽǀĞ͘
/ĨƚŚĞůĞǀĞůŽĨŶŽŶĐŽŵƉůŝĂŶĐĞǁŽƌƐĞŶĞĚƚŽĂƉŽŝŶƚǁŚĞƌĞĂŚŝŐŚĞƌĐĂƚĞŐŽƌLJŽĨƌĞŵĞĚLJŵĂLJďĞŝŵƉŽƐĞĚ͕
ǁĞǁŝůůƌĞĐŽŵŵĞŶĚƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞƚŚĂƚƚŚŽƐĞŽƚŚĞƌƌĞŵĞĚŝĞƐďĞŝŵƉŽƐĞĚ͘
KƌŝŐŝŶĂůĚĞĨŝĐŝĞŶĐŝĞƐŶŽƚĐŽƌƌĞĐƚĞĚĂŶĚŶĞǁĚĞĨŝĐŝĞŶĐŝĞƐĨŽƵŶĚĚƵƌŝŶŐƚŚĞƌĞǀŝƐŝƚ
/ĨŶĞǁĚĞĨŝĐŝĞŶĐŝĞƐĂƌĞŝĚĞŶƚŝĨŝĞĚĂƚƚŚĞƚŝŵĞŽĨƚŚĞƌĞǀŝƐŝƚ͕ƚŚŽƐĞĚĞĨŝĐŝĞŶĐŝĞƐŵĂLJďĞĚŝƐƉƵƚĞĚƚŚƌŽƵŐŚ
ƚŚĞŝŶĨŽƌŵĂůĚŝƐƉƵƚĞƌĞƐŽůƵƚŝŽŶƉƌŽĐĞƐƐ͘,ŽǁĞǀĞƌ͕ƚŚĞƌĞŵĞĚŝĞƐƐƉĞĐŝĨŝĞĚŝŶƚŚŝƐůĞƚƚĞƌǁŝůůďĞŝŵƉŽƐĞĚ
ĨŽƌŽƌŝŐŝŶĂůĚĞĨŝĐŝĞŶĐŝĞƐŶŽƚĐŽƌƌĞĐƚĞĚ͘/ĨƚŚĞĚĞĨŝĐŝĞŶĐŝĞƐŝĚĞŶƚŝĨŝĞĚĂƚƚŚĞƌĞǀŝƐŝƚƌĞƋƵŝƌĞƚŚĞŝŵƉŽƐŝƚŝŽŶ ŽĨĂŚŝŐŚĞƌĐĂƚĞŐŽƌLJŽĨƌĞŵĞĚLJ͕ǁĞǁŝůůƌĞĐŽŵŵĞŶĚƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞƚŚĂƚƚŚŽƐĞƌĞŵĞĚŝĞƐďĞ
ŝŵƉŽƐĞĚ͘
KƌŝŐŝŶĂůĚĞĨŝĐŝĞŶĐŝĞƐĐŽƌƌĞĐƚĞĚďƵƚŶĞǁĚĞĨŝĐŝĞŶĐŝĞƐĨŽƵŶĚĚƵƌŝŶŐƚŚĞƌĞǀŝƐŝƚ
/ĨŶĞǁĚĞĨŝĐŝĞŶĐŝĞƐĂƌĞĨŽƵŶĚĂƚƚŚĞƌĞǀŝƐŝƚ͕ƚŚĞƌĞŵĞĚŝĞƐƐƉĞĐŝĨŝĞĚŝŶƚŚŝƐůĞƚƚĞƌǁŝůůďĞŝŵƉŽƐĞĚ͘/ĨƚŚĞ
ĚĞĨŝĐŝĞŶĐŝĞƐŝĚĞŶƚŝĨŝĞĚĂƚƚŚĞƌĞǀŝƐŝƚƌĞƋƵŝƌĞƚŚĞŝŵƉŽƐŝƚŝŽŶŽĨĂŚŝŐŚĞƌĐĂƚĞŐŽƌLJŽĨƌĞŵĞĚLJ͕ǁĞǁŝůů
ƌĞĐŽŵŵĞŶĚƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞƚŚĂƚƚŚŽƐĞƌĞŵĞĚŝĞƐďĞŝŵƉŽƐĞĚ͘zŽƵǁŝůůďĞƉƌŽǀŝĚĞĚƚŚĞ
ƌĞƋƵŝƌĞĚŶŽƚŝĐĞďĞĨŽƌĞƚŚĞŝŵƉŽƐŝƚŝŽŶŽĨĂŶĞǁƌĞŵĞĚLJŽƌŝŶĨŽƌŵĞĚŝĨĂŶŽƚŚĞƌĚĂƚĞǁŝůůďĞƐĞƚĨŽƌƚŚĞ
ŝŵƉŽƐŝƚŝŽŶŽĨƚŚĞƐĞƌĞŵĞĚŝĞƐ͘
&/>hZdK,/s^h^dEd/>KDW>/Ezd,d,/ZKZ^/yd,DKEd,&dZd,>^d
zK&d,^hZsz
/ĨƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞǁŝƚŚƚŚĞƌĞŐƵůĂƚŝŽŶƐŝƐŶŽƚǀĞƌŝĨŝĞĚďLJ:ƵŶĞϭϬ͕ϮϬϭϲ;ƚŚƌĞĞŵŽŶƚŚƐĂĨƚĞƌƚŚĞ
ŝĚĞŶƚŝĨŝĐĂƚŝŽŶŽĨŶŽŶĐŽŵƉůŝĂŶĐĞͿ͕ƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞŵƵƐƚĚĞŶLJƉĂLJŵĞŶƚĨŽƌŶĞǁĂĚŵŝƐƐŝŽŶƐĂƐ
ŵĂŶĚĂƚĞĚďLJƚŚĞ^ŽĐŝĂů^ĞĐƵƌŝƚLJĐƚ;ƚŚĞĐƚͿĂƚ^ĞĐƚŝŽŶƐϭϴϭϵ;ŚͿ;ϮͿ;ͿĂŶĚϭϵϭϵ;ŚͿ;ϮͿ;ͿĂŶĚ&ĞĚĞƌĂů
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϮϭ͕ϮϬϭϲ
WĂŐĞϱ
ƌĞŐƵůĂƚŝŽŶƐĂƚϰϮ&Z^ĞĐƚŝŽŶϰϴϴ͘ϰϭϳ;ďͿ͘dŚŝƐŵĂŶĚĂƚŽƌLJĚĞŶŝĂůŽĨƉĂLJŵĞŶƚƐǁŝůůďĞďĂƐĞĚŽŶƚŚĞ
ĨĂŝůƵƌĞƚŽĐŽŵƉůLJǁŝƚŚĚĞĨŝĐŝĞŶĐŝĞƐŽƌŝŐŝŶĂůůLJĐŽŶƚĂŝŶĞĚŝŶƚŚĞ^ƚĂƚĞŵĞŶƚŽĨĞĨŝĐŝĞŶĐŝĞƐ͕ƵƉŽŶƚŚĞ
ŝĚĞŶƚŝĨŝĐĂƚŝŽŶŽĨŶĞǁĚĞĨŝĐŝĞŶĐŝĞƐĂƚƚŚĞƚŝŵĞŽĨƚŚĞƌĞǀŝƐŝƚ͕ŽƌŝĨĚĞĨŝĐŝĞŶĐŝĞƐŚĂǀĞďĞĞŶŝƐƐƵĞĚĂƐƚŚĞ
ƌĞƐƵůƚŽĨĂĐŽŵƉůĂŝŶƚǀŝƐŝƚŽƌŽƚŚĞƌƐƵƌǀĞLJĐŽŶĚƵĐƚĞĚĂĨƚĞƌƚŚĞŽƌŝŐŝŶĂůƐƚĂƚĞŵĞŶƚŽĨĚĞĨŝĐŝĞŶĐŝĞƐǁĂƐ
ŝƐƐƵĞĚ͘dŚŝƐŵĂŶĚĂƚŽƌLJĚĞŶŝĂůŽĨƉĂLJŵĞŶƚŝƐŝŶĂĚĚŝƚŝŽŶƚŽĂŶLJƌĞŵĞĚŝĞƐƚŚĂƚŵĂLJƐƚŝůůďĞŝŶĞĨĨĞĐƚĂƐŽĨ
ƚŚŝƐĚĂƚĞ͘
tĞǁŝůůĂůƐŽƌĞĐŽŵŵĞŶĚƚŽƚŚĞD^ZĞŐŝŽŶsKĨĨŝĐĞĂŶĚͬŽƌƚŚĞDŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ƵŵĂŶ
^ĞƌǀŝĐĞƐƚŚĂƚLJŽƵƌƉƌŽǀŝĚĞƌĂŐƌĞĞŵĞŶƚďĞƚĞƌŵŝŶĂƚĞĚďLJ^ĞƉƚĞŵďĞƌϭϬ͕ϮϬϭϲ;ƐŝdžŵŽŶƚŚƐĂĨƚĞƌƚŚĞ
ŝĚĞŶƚŝĨŝĐĂƚŝŽŶŽĨŶŽŶĐŽŵƉůŝĂŶĐĞͿŝĨLJŽƵƌĨĂĐŝůŝƚLJĚŽĞƐŶŽƚĂĐŚŝĞǀĞƐƵďƐƚĂŶƚŝĂůĐŽŵƉůŝĂŶĐĞ͘dŚŝƐĂĐƚŝŽŶŝƐ
ŵĂŶĚĂƚĞĚďLJƚŚĞ^ŽĐŝĂů^ĞĐƵƌŝƚLJĐƚĂƚ^ĞĐƚŝŽŶƐϭϴϭϵ;ŚͿ;ϮͿ;ͿĂŶĚϭϵϭϵ;ŚͿ;ϯͿ;ͿĂŶĚ&ĞĚĞƌĂů
ƌĞŐƵůĂƚŝŽŶƐĂƚϰϮ&Z^ĞĐƚŝŽŶƐϰϴϴ͘ϰϭϮĂŶĚϰϴϴ͘ϰϱϲ͘
/E&KZD>/^WhdZ^K>hd/KE
/ŶĂĐĐŽƌĚĂŶĐĞǁŝƚŚϰϮ&Zϰϴϴ͘ϯϯϭ͕LJŽƵŚĂǀĞŽŶĞŽƉƉŽƌƚƵŶŝƚLJƚŽƋƵĞƐƚŝŽŶĐŝƚĞĚĚĞĨŝĐŝĞŶĐŝĞƐƚŚƌŽƵŐŚ
ĂŶŝŶĨŽƌŵĂůĚŝƐƉƵƚĞƌĞƐŽůƵƚŝŽŶƉƌŽĐĞƐƐ͘zŽƵĂƌĞƌĞƋƵŝƌĞĚƚŽƐĞŶĚLJŽƵƌǁƌŝƚƚĞŶƌĞƋƵĞƐƚ͕ĂůŽŶŐǁŝƚŚƚŚĞ
ƐƉĞĐŝĨŝĐĚĞĨŝĐŝĞŶĐŝĞƐďĞŝŶŐĚŝƐƉƵƚĞĚ͕ĂŶĚĂŶĞdžƉůĂŶĂƚŝŽŶŽĨǁŚLJLJŽƵĂƌĞĚŝƐƉƵƚŝŶŐƚŚŽƐĞĚĞĨŝĐŝĞŶĐŝĞƐ͕ƚŽ͗
EƵƌƐŝŶŐ,ŽŵĞ/ŶĨŽƌŵĂůŝƐƉƵƚĞWƌŽĐĞƐƐ
DŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ W͘K͘ŽdžϲϰϵϬϬ
^ƚ͘WĂƵů͕DŝŶŶĞƐŽƚĂϱϱϭϲϰͲϬϵϬϬ
dŚŝƐƌĞƋƵĞƐƚŵƵƐƚďĞƐĞŶƚǁŝƚŚŝŶƚŚĞƐĂŵĞƚĞŶĚĂLJƐLJŽƵŚĂǀĞĨŽƌƐƵďŵŝƚƚŝŶŐĂŶĞWŽĨŽƌƚŚĞĐŝƚĞĚ
ĚĞĨŝĐŝĞŶĐŝĞƐ͘ůůƌĞƋƵĞƐƚƐĨŽƌĂŶ/ZŽƌ//ZŽĨĨĞĚĞƌĂůĚĞĨŝĐŝĞŶĐŝĞƐŵƵƐƚďĞƐƵďŵŝƚƚĞĚǀŝĂƚŚĞǁĞďĂƚ͗
ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ƐƚĂƚĞ͘ŵŶ͘ƵƐͬĚŝǀƐͬĨƉĐͬƉƌŽĨŝŶĨŽͬůƚĐͬůƚĐͺŝĚƌ͘ĐĨŵ zŽƵŵƵƐƚŶŽƚŝĨLJD,ĂƚƚŚŝƐǁĞďƐŝƚĞŽĨLJŽƵƌƌĞƋƵĞƐƚĨŽƌĂŶ/ZŽƌ//ZǁŝƚŚŝŶƚŚĞϭϬĐĂůĞŶĚĂƌĚĂLJ
ƉĞƌŝŽĚĂůůŽƚƚĞĚĨŽƌƐƵďŵŝƚƚŝŶŐĂŶĂĐĐĞƉƚĂďůĞĞůĞĐƚƌŽŶŝĐƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶ͘ĐŽƉLJŽĨƚŚĞĞƉĂƌƚŵĞŶƚ͛Ɛ
ŝŶĨŽƌŵĂůĚŝƐƉƵƚĞƌĞƐŽůƵƚŝŽŶƉŽůŝĐŝĞƐĂƌĞƉŽƐƚĞĚŽŶƚŚĞD,/ŶĨŽƌŵĂƚŝŽŶƵůůĞƚŝŶǁĞďƐŝƚĞĂƚ͗
ŚƚƚƉ͗ͬͬǁǁǁ͘ŚĞĂůƚŚ͘ƐƚĂƚĞ͘ŵŶ͘ƵƐͬĚŝǀƐͬĨƉĐͬƉƌŽĨŝŶĨŽͬŝŶĨŽďƵů͘Śƚŵ
WůĞĂƐĞŶŽƚĞƚŚĂƚƚŚĞĨĂŝůƵƌĞƚŽĐŽŵƉůĞƚĞƚŚĞŝŶĨŽƌŵĂůĚŝƐƉƵƚĞƌĞƐŽůƵƚŝŽŶƉƌŽĐĞƐƐǁŝůůŶŽƚĚĞůĂLJƚŚĞ
ĚĂƚĞƐƐƉĞĐŝĨŝĞĚĨŽƌĐŽŵƉůŝĂŶĐĞŽƌƚŚĞŝŵƉŽƐŝƚŝŽŶŽĨƌĞŵĞĚŝĞƐ͘
YƵĞƐƚŝŽŶƐƌĞŐĂƌĚŝŶŐĂůůĚŽĐƵŵĞŶƚƐƐƵďŵŝƚƚĞĚĂƐĂƌĞƐƉŽŶƐĞƚŽƚŚĞ>ŝĨĞ^ĂĨĞƚLJŽĚĞĚĞĨŝĐŝĞŶĐŝĞƐ;ƚŚŽƐĞ
ƉƌĞĐĞĚĞĚďLJĂΗ<ΗƚĂŐͿ͕ŝ͘Ğ͕͘ƚŚĞƉůĂŶŽĨĐŽƌƌĞĐƚŝŽŶ͕ƌĞƋƵĞƐƚĨŽƌǁĂŝǀĞƌƐ͕ƐŚŽƵůĚďĞĚŝƌĞĐƚĞĚƚŽ͗
Dƌ͘dŽŵ>ŝŶŚŽĨĨ͕^ƵƉĞƌǀŝƐŽƌ
,ĞĂůƚŚĂƌĞ&ŝƌĞ/ŶƐƉĞĐƚŝŽŶƐ
^ƚĂƚĞ&ŝƌĞDĂƌƐŚĂůŝǀŝƐŝŽŶ
ŵĂŝů͗ƚŽŵ͘ůŝŶŚŽĨĨΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
ƚ Žŵ͘ůŝŶŚŽĨĨΛƐƚĂƚĞ͘ŵŶ͘ƵƐ ƚŽŵ͘ůŝŶŚŽĨĨΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
DĂƌĐŚϮϭ͕ϮϬϭϲ
WĂŐĞϲ
dĞůĞƉŚŽŶĞ͗;ϲϱϭͿϮϬϭͲϳϮϬϱ
&Ădž͗;ϲϱϭͿϮϭϱͲϬϱϮϱ
&ĞĞůĨƌĞĞƚŽĐŽŶƚĂĐƚŵĞŝĨLJŽƵŚĂǀĞƋƵĞƐƚŝŽŶƐ͘
^ŝŶĐĞƌĞůLJ͕
<ĂƚĞ:ŽŚŶƐdŽŶ͕WƌŽŐƌĂŵ^ƉĞĐŝĂůŝƐƚ
WƌŽŐƌĂŵƐƐƵƌĂŶĐĞhŶŝƚ
>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶWƌŽŐƌĂŵ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ ϴϱĂƐƚ^ĞǀĞŶƚŚWůĂĐĞ͕^ƵŝƚĞϮϮϬ
W͘K͘ŽdžϲϰϵϬϬ
^ƚ͘WĂƵů͕DŝŶŶĞƐŽƚĂϱϱϭϲϰͲϬϵϬϬ
ŬĂƚĞ͘ũŽŚŶƐƚŽŶΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
dĞůĞƉŚŽŶĞ͗;ϲϱϭͿϮϬϭͲϯϵϵϮ&Ădž͗;ϲϱϭͿϮϭϱͲϵϲϵϳ
ŶĐůŽƐƵƌĞ
ĐĐ͗>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶ&ŝůĞ PRINTED: 03/21/2016
FORM APPROVED
DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
OMB NO. 0938-0391
(X2) MULTIPLE CONSTRUCTION
A. BUILDING ______________________
B. WING _____________________________
245533
NAME OF PROVIDER OR SUPPLIER
03/10/2016
STREET ADDRESS, CITY, STATE, ZIP CODE
439 WILLIAM AVENUE EAST, PO BOX 383
LAKESIDE HEALTH CARE CENTER
(X4) ID
PREFIX
TAG
(X3) DATE SURVEY
COMPLETED
DASSEL, MN 55325
SUMMARY STATEMENT OF DEFICIENCIES
(EACH DEFICIENCY MUST BE PRECEDED BY FULL
REGULATORY OR LSC IDENTIFYING INFORMATION)
F 000 INITIAL COMMENTS
PROVIDER'S PLAN OF CORRECTION
(EACH CORRECTIVE ACTION SHOULD BE
CROSS-REFERENCED TO THE APPROPRIATE
DEFICIENCY)
ID
PREFIX
TAG
(X5)
COMPLETION
DATE
F 000
The facility is enrolled in ePOC and therefore a
signature is not required at the bottom of the first
page of the CMS-2567 form. Although no plan of
correction is required, it is required that you
acknowledge receipt of the electronic documents.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
(X6) DATE
TITLE
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that
other safeguards provide sufficient protection to the patients . (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days
following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14
days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued
program participation.
FORM CMS-2567(02-99) Previous Versions Obsolete
Event ID: 9FNP11
Facility ID: 00773
If continuation sheet Page 1 of 1
WZKdd/E'͕D/Ed/E/E'E/DWZKs/E'd,,>d,K&>>D/EE^KdE^
ůĞĐƚƌŽŶŝĐĂůůLJĚĞůŝǀĞƌĞĚ
DĂƌĐŚϮϭ͕ϮϬϭϲ
DƐ͘ƌŝĂŶŶĞtŽůƚĞƌƐ͕ĚŵŝŶŝƐƚƌĂƚŽƌ
>ĂŬĞƐŝĚĞ,ĞĂůƚŚĂƌĞĞŶƚĞƌ
ϰϯϵtŝůůŝĂŵǀĞŶƵĞĂƐƚ͕W͘K͘Ždžϯϴϯ
ĂƐƐĞů͕DŝŶŶĞƐŽƚĂϱϱϯϮϱ
ZĞ͗WƌŽũĞĐƚEƵŵďĞƌ^ϱϱϯϯϬϮϱ
ĞĂƌDƐ͘tŽůƚĞƌƐ͗
dŚĞĂďŽǀĞĨĂĐŝůŝƚLJƐƵƌǀĞLJǁĂƐĐŽŵƉůĞƚĞĚŽŶDĂƌĐŚϭϬ͕ϮϬϭϲĨŽƌƚŚĞƉƵƌƉŽƐĞŽĨĂƐƐĞƐƐŝŶŐĐŽŵƉůŝĂŶĐĞǁŝƚŚ
DŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚEƵƌƐŝŶŐ,ŽŵĞZƵůĞƐ͘ƚƚŚĞƚŝŵĞŽĨƚŚĞƐƵƌǀĞLJ͕ƚŚĞƐƵƌǀĞLJƚĞĂŵĨƌŽŵƚŚĞ
DŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚ͕,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ͕ŶŽƚĞĚŶŽǀŝŽůĂƚŝŽŶƐŽĨƚŚĞƐĞƌƵůĞƐ
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ŶŽƚĞĚĂƚƚŚĞƚŝŵĞŽĨƚŚŝƐƐƵƌǀĞLJ͘dŚĞDŝŶŶĞƐŽƚĂĞƉĂƌƚŵĞŶƚŽĨ,ĞĂůƚŚŝƐĚŽĐƵŵĞŶƚŝŶŐƚŚĞ^ƚĂƚĞ>ŝĐĞŶƐŝŶŐ
ŽƌƌĞĐƚŝŽŶKƌĚĞƌƐƵƐŝŶŐĨĞĚĞƌĂůƐŽĨƚǁĂƌĞ͘WůĞĂƐĞĚŝƐƌĞŐĂƌĚƚŚĞŚĞĂĚŝŶŐŽĨƚŚĞĨŽƵƌƚŚĐŽůƵŵŶǁŚŝĐŚƐƚĂƚĞƐ͕
ΗWƌŽǀŝĚĞƌΖƐWůĂŶŽĨŽƌƌĞĐƚŝŽŶ͘ΗdŚŝƐĂƉƉůŝĞƐƚŽ&ĞĚĞƌĂůĚĞĨŝĐŝĞŶĐŝĞƐŽŶůLJ͘dŚĞƌĞŝƐŶŽƌĞƋƵŝƌĞŵĞŶƚƚŽƐƵďŵŝƚ
ĂWůĂŶŽĨŽƌƌĞĐƚŝŽŶ͘
WůĞĂƐĞŶŽƚĞŝƚŝƐLJŽƵƌƌĞƐƉŽŶƐŝďŝůŝƚLJƚŽƐŚĂƌĞƚŚĞŝŶĨŽƌŵĂƚŝŽŶĐŽŶƚĂŝŶĞĚŝŶƚŚŝƐůĞƚƚĞƌĂŶĚƚŚĞƌĞƐƵůƚƐŽĨƚŚŝƐ
ǀŝƐŝƚǁŝƚŚƚŚĞWƌĞƐŝĚĞŶƚŽĨLJŽƵƌĨĂĐŝůŝƚLJ͛Ɛ'ŽǀĞƌŶŝŶŐŽĚLJ͘
WůĞĂƐĞĨĞĞůĨƌĞĞƚŽĐĂůůŵĞǁŝƚŚĂŶLJƋƵĞƐƚŝŽŶƐ͘
^ŝŶĐĞƌĞůLJ͕
<ĂƚĞ:ŽŚŶƐdŽŶ͕WƌŽŐƌĂŵ^ƉĞĐŝĂůŝƐƚ
WƌŽŐƌĂŵƐƐƵƌĂŶĐĞhŶŝƚ
>ŝĐĞŶƐŝŶŐĂŶĚĞƌƚŝĨŝĐĂƚŝŽŶWƌŽŐƌĂŵ
,ĞĂůƚŚZĞŐƵůĂƚŝŽŶŝǀŝƐŝŽŶ ϴϱĂƐƚ^ĞǀĞŶƚŚWůĂĐĞ͕^ƵŝƚĞϮϮϬ
W͘K͘ŽdžϲϰϵϬϬ
^ƚ͘WĂƵů͕DŝŶŶĞƐŽƚĂϱϱϭϲϰͲϬϵϬϬ
ŬĂƚĞ͘ũŽŚŶƐƚŽŶΛƐƚĂƚĞ͘ŵŶ͘ƵƐ
dĞůĞƉŚŽŶĞ͗;ϲϱϭͿϮϬϭͲϯϵϵϮ&Ădž͗;ϲϱϭͿϮϭϱͲϵϲϵϳ
ŶĞƋƵĂůŽƉƉŽƌƚƵŶŝƚLJĞŵƉůŽLJĞƌ
PRINTED: 03/18/2016
FORM APPROVED
Minnesota Department of Health
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
LAKESIDE HEALTH CARE CENTER
(X4) ID
PREFIX
TAG
(X3) DATE SURVEY
COMPLETED
B. WING _____________________________
00773
NAME OF PROVIDER OR SUPPLIER
(X2) MULTIPLE CONSTRUCTION
A. BUILDING: ______________________
03/10/2016
STREET ADDRESS, CITY, STATE, ZIP CODE
439 WILLIAM AVENUE EAST, PO BOX 383
DASSEL, MN 55325
SUMMARY STATEMENT OF DEFICIENCIES
(EACH DEFICIENCY MUST BE PRECEDED BY FULL
REGULATORY OR LSC IDENTIFYING INFORMATION)
2 000 Initial Comments
PROVIDER'S PLAN OF CORRECTION
(EACH CORRECTIVE ACTION SHOULD BE
CROSS-REFERENCED TO THE APPROPRIATE
DEFICIENCY)
ID
PREFIX
TAG
(X5)
COMPLETE
DATE
2 000
*****ATTENTION******
NH LICENSING CORRECTION ORDER
In accordance with Minnesota Statute, section
144A.10, this correction order has been issued
pursuant to a survey. If, upon reinspection, it is
found that the deficiency or deficiencies cited
herein are not corrected, a fine for each violation
not corrected shall be assessed in accordance
with a schedule of fines promulgated by rule of
the Minnesota Department of Health.
Determination of whether a violation has been
corrected requires compliance with all
requirements of the rule provided at the tag
number and MN Rule number indicated below.
When a rule contains several items, failure to
comply with any of the items will be considered
lack of compliance. Lack of compliance upon
re-inspection with any item of multi-part rule will
result in the assessment of a fine even if the item
that was violated during the initial inspection was
corrected.
You may request a hearing on any assessments
that may result from non-compliance with these
orders provided that a written request is made to
the Department within 15 days of receipt of a
notice of assessment for non-compliance.
INITIAL COMMENTS:
On March 7, 8, 9, and 10, 2016, surveyors of this
Department's staff, visited the above provider and
had no licensing violations.
Minnesota Department of Health
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
STATE FORM
TITLE
6899
9FNP11
(X6) DATE
If continuation sheet 1 of 1