Adel Acres - Adel Nursing Home

General Information

UPDATE
Federal Provider Number
165555
Provider Name
ADEL ACRES
Provider Address
1919 GREENE STREET
ADEL, IA 50003
Provider Phone Number
5159934511
Provider SSA County
240
Provider County Name
Dallas
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
46
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADEL HEALTHCARE MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
2004-12-01
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
2
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
2.26087
Reported LPN Staffing Hours per Resident per Day
0.33261
Reported RN Staffing Hours per Resident per Day
0.51957
Reported Licensed Staffing Hours per Resident per Day
0.85217
Reported Total Nurse Staffing Hours per Resident per Day
3.11305
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00109
Expected CNA Staffing Hours per Resident per Day
2.53909
Expected LPN Staffing Hours per Resident per Day
0.57450
Expected RN Staffing Hours per Resident per Day
0.80332
Expected Total Nurse Staffing Hours per Resident per Day
3.91692
Adjusted CNA Staffing Hours per Resident per Day
2.18484
Adjusted LPN Staffing Hours per Resident per Day
0.48053
Adjusted RN Staffing Hours per Resident per Day
0.48327
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20364
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-08
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
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
17.33300
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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