Anamosa Care Center - Anamosa Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165375
Provider Name
ANAMOSA CARE CENTER
Provider Address
1209 EAST THIRD STREET
ANAMOSA, IA 52205
ANAMOSA, IA 52205
Provider Phone Number
(319) 462-4356
Provider SSA County
520
Provider County Name
Jones
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ANAMOSA NURSING HOME COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1998-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
1.95859
Reported LPN Staffing Hours per Resident per Day
0.35859
Reported RN Staffing Hours per Resident per Day
0.54766
Reported Licensed Staffing Hours per Resident per Day
0.90625
Reported Total Nurse Staffing Hours per Resident per Day
2.86484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02266
Expected CNA Staffing Hours per Resident per Day
2.37771
Expected LPN Staffing Hours per Resident per Day
0.58062
Expected RN Staffing Hours per Resident per Day
0.84912
Expected Total Nurse Staffing Hours per Resident per Day
3.80745
Adjusted CNA Staffing Hours per Resident per Day
2.02119
Adjusted LPN Staffing Hours per Resident per Day
0.51261
Adjusted RN Staffing Hours per Resident per Day
0.48192
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03297
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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