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West Bend Health And Rehabilitation - West Bend Nursing Home

General Information

UPDATE
Federal Provider Number
165444
Provider Name
WEST BEND HEALTH AND REHABILITATION
Provider Address
203 FOURTH STREET NW
WEST BEND, IA 50597
Provider Phone Number
5158874071
Provider SSA County
730
Provider County Name
Palo Alto
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE CREEK HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
2001-11-14
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.73250
Reported LPN Staffing Hours per Resident per Day
0.16125
Reported RN Staffing Hours per Resident per Day
1.06125
Reported Licensed Staffing Hours per Resident per Day
1.22250
Reported Total Nurse Staffing Hours per Resident per Day
2.95500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08125
Expected CNA Staffing Hours per Resident per Day
2.55601
Expected LPN Staffing Hours per Resident per Day
0.61643
Expected RN Staffing Hours per Resident per Day
0.89161
Expected Total Nurse Staffing Hours per Resident per Day
4.06405
Adjusted CNA Staffing Hours per Resident per Day
1.66316
Adjusted LPN Staffing Hours per Resident per Day
0.21712
Adjusted RN Staffing Hours per Resident per Day
0.88937
Adjusted Total Nurse Staffing Hours per Resident per Day
2.93090
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-04-01
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-16
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
2012-11-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
9.33300
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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