Cottage Grove Place - The Club - Cedar Rapids Nursing Home
General Information
UPDATEFederal Provider Number
165322
Provider Name
COTTAGE GROVE PLACE - THE CLUB
Provider Address
2115 FIRST AVENUE SE
CEDAR RAPIDS, IA 52402
CEDAR RAPIDS, IA 52402
Provider Phone Number
3193632420
Provider SSA County
560
Provider County Name
Linn
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
48
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
COTTAGE GROVE PLACE
Date First Approved to Provide Medicare and Medicaid services
1997-05-07
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.65938
Reported LPN Staffing Hours per Resident per Day
1.11667
Reported RN Staffing Hours per Resident per Day
1.24583
Reported Licensed Staffing Hours per Resident per Day
2.36250
Reported Total Nurse Staffing Hours per Resident per Day
5.02188
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17292
Expected CNA Staffing Hours per Resident per Day
2.57368
Expected LPN Staffing Hours per Resident per Day
0.58908
Expected RN Staffing Hours per Resident per Day
0.89155
Expected Total Nurse Staffing Hours per Resident per Day
4.05431
Adjusted CNA Staffing Hours per Resident per Day
2.53541
Adjusted LPN Staffing Hours per Resident per Day
1.57336
Adjusted RN Staffing Hours per Resident per Day
1.04412
Adjusted Total Nurse Staffing Hours per Resident per Day
4.99289
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
8
Cycle 1 Standard Survey Health Date
2014-12-04
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
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-10-07
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
2
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
Nursiong Homes Nearby
Manorcare Health Services
1940 First Avenue Ne |
CEDAR RAPIDS IA 52402 | 0.4 mile away
Living Center East
1220 Fifth Avenue Se |
CEDAR RAPIDS IA 52403 | 1.3 miles away
Living Center West
1050 4th Avenue Se |
CEDAR RAPIDS IA 52403 | 1.3 miles away
Mercy Medical Center
701 Tenth Street Se |
CEDAR RAPIDS IA 52403 | 1.6 miles away
Linn Manor Care Center
1140 Elim Drive |
MARION IA 52302 | 2.4 miles away
Crestview Acres
1485 Grand |
MARION IA 52302 | 2.7 miles away
Meth-wick Health Center
1224 13th Street Nw |
CEDAR RAPIDS IA 52405 | 3 miles away
Northbrook Manor
6420 Council Street Ne |
CEDAR RAPIDS IA 52402 | 3.4 miles away
Willow Gardens Care Center
455 31st Street |
MARION IA 52302 | 3.8 miles away
West Ridge Care Center
3131 F Avenue Nw |
CEDAR RAPIDS IA 52405 | 4.1 miles away
Hiawatha Care Center
405 North 15th Avenue |
HIAWATHA IA 52233 | 4.3 miles away
Winslow House Care Center
3456 Indian Creek Road |
MARION IA 52302 | 4.8 miles away
Heritage Nursing & Rehab Center
200 Clive Drive Sw |
CEDAR RAPIDS IA 52404 | 4.9 miles away
Hallmark Care Center
215 Highway 30 West |
MOUNT VERNON IA 52314 | 12.3 miles away
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