Avoca Nursing & Rehab Center - Avoca Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165294
Provider Name
AVOCA NURSING & REHAB CENTER
Provider Address
610 EAST YORK STREET
AVOCA, IA 51521
AVOCA, IA 51521
Provider Phone Number
(712) 343-6398
Provider SSA County
770
Provider County Name
Pottawattamie
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE INITIATIVES INC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.91000
Reported LPN Staffing Hours per Resident per Day
0.55125
Reported RN Staffing Hours per Resident per Day
0.64500
Reported Licensed Staffing Hours per Resident per Day
1.19625
Reported Total Nurse Staffing Hours per Resident per Day
3.10625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01125
Expected CNA Staffing Hours per Resident per Day
2.27224
Expected LPN Staffing Hours per Resident per Day
0.56541
Expected RN Staffing Hours per Resident per Day
0.85458
Expected Total Nurse Staffing Hours per Resident per Day
3.69223
Adjusted CNA Staffing Hours per Resident per Day
2.06253
Adjusted LPN Staffing Hours per Resident per Day
0.80922
Adjusted RN Staffing Hours per Resident per Day
0.56395
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39117
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
22
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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