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Manilla Manor - Manilla Nursing Home

General Information

UPDATE
Federal Provider Number
165371
Provider Name
MANILLA MANOR
Provider Address
146 N 5TH ST
MANILLA, IA 51454
Provider Phone Number
7126546812
Provider SSA County
230
Provider County Name
Crawford
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL MANORS OF MANILLA INC
Date First Approved to Provide Medicare and Medicaid services
1997-11-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08514
Reported LPN Staffing Hours per Resident per Day
0.68514
Reported RN Staffing Hours per Resident per Day
0.45135
Reported Licensed Staffing Hours per Resident per Day
1.13649
Reported Total Nurse Staffing Hours per Resident per Day
3.22163
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00405
Expected CNA Staffing Hours per Resident per Day
2.32170
Expected LPN Staffing Hours per Resident per Day
0.55252
Expected RN Staffing Hours per Resident per Day
0.79697
Expected Total Nurse Staffing Hours per Resident per Day
3.67120
Adjusted CNA Staffing Hours per Resident per Day
2.20369
Adjusted LPN Staffing Hours per Resident per Day
1.02921
Adjusted RN Staffing Hours per Resident per Day
0.42316
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53728
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-11
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-26
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
1
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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