Aase Haugen Home - Decorah Nursing Home
General Information
UPDATEFederal Provider Number
165178
Provider Name
AASE HAUGEN HOME
Provider Address
FOUR OHIO STREET
DECORAH, IA 52101
DECORAH, IA 52101
Provider Phone Number
5633823603
Provider SSA County
950
Provider County Name
Winneshiek
Ownership Type
Non profit - Church related
Number of Certified Beds
99
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AASE HAUGEN HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.29479
Reported LPN Staffing Hours per Resident per Day
0.62656
Reported RN Staffing Hours per Resident per Day
0.78333
Reported Licensed Staffing Hours per Resident per Day
1.40990
Reported Total Nurse Staffing Hours per Resident per Day
3.70468
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01927
Expected CNA Staffing Hours per Resident per Day
2.40661
Expected LPN Staffing Hours per Resident per Day
0.57238
Expected RN Staffing Hours per Resident per Day
0.88476
Expected Total Nurse Staffing Hours per Resident per Day
3.86375
Adjusted CNA Staffing Hours per Resident per Day
2.33969
Adjusted LPN Staffing Hours per Resident per Day
0.90856
Adjusted RN Staffing Hours per Resident per Day
0.66154
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86495
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
52
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
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Wellington Place
2479 River Road |
DECORAH IA 52101 | 2.8 miles away
Ossian Senior Hospice
114 Fisher Street |
OSSIAN IA 52161 | 10.9 miles away
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