Rotary Senior Living - Eagle Grove Nursing Home

General Information

UPDATE
Federal Provider Number
165500
Provider Name
ROTARY SENIOR LIVING
Provider Address
500 SOUTH BLAINE AVENUE
EAGLE GROVE, IA 50533
Provider Phone Number
5154485124
Provider SSA County
980
Provider County Name
Wright
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROTARY CLUB OF EAGLE GROVE HOME INC
Date First Approved to Provide Medicare and Medicaid services
2003-10-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
3.15484
Reported LPN Staffing Hours per Resident per Day
0.85484
Reported RN Staffing Hours per Resident per Day
0.70000
Reported Licensed Staffing Hours per Resident per Day
1.55484
Reported Total Nurse Staffing Hours per Resident per Day
4.70968
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06290
Expected CNA Staffing Hours per Resident per Day
2.44108
Expected LPN Staffing Hours per Resident per Day
0.61217
Expected RN Staffing Hours per Resident per Day
0.93683
Expected Total Nurse Staffing Hours per Resident per Day
3.99009
Adjusted CNA Staffing Hours per Resident per Day
3.17115
Adjusted LPN Staffing Hours per Resident per Day
1.15902
Adjusted RN Staffing Hours per Resident per Day
0.55831
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75786
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-02
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
5
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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