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Belle Plaine Nursing & Rehab Center - Belle Plaine Nursing Home

General Information

UPDATE
Federal Provider Number
165349
Provider Name
BELLE PLAINE NURSING & REHAB CENTER
Provider Address
1505 SUNSET DRIVE
BELLE PLAINE, IA 52208
Provider Phone Number
3194442500
Provider SSA County
50
Provider County Name
Benton
Ownership Type
Non profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.41250
Reported LPN Staffing Hours per Resident per Day
0.66667
Reported RN Staffing Hours per Resident per Day
0.59306
Reported Licensed Staffing Hours per Resident per Day
1.25972
Reported Total Nurse Staffing Hours per Resident per Day
3.67223
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04722
Expected CNA Staffing Hours per Resident per Day
2.49902
Expected LPN Staffing Hours per Resident per Day
0.62192
Expected RN Staffing Hours per Resident per Day
0.86405
Expected Total Nurse Staffing Hours per Resident per Day
3.98498
Adjusted CNA Staffing Hours per Resident per Day
2.36875
Adjusted LPN Staffing Hours per Resident per Day
0.88973
Adjusted RN Staffing Hours per Resident per Day
0.51286
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71454
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
4
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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