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Baxter Health Care Center - Baxter Nursing Home

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Federal Provider Number
165398
Provider Name
BAXTER HEALTH CARE CENTER
Provider Address
407 SOUTH EAST AVENUE
BAXTER, IA 50028
Provider Phone Number
(641) 227-3602
Provider SSA County
490
Provider County Name
Jasper
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BAXTER CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1999-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.08088
Reported LPN Staffing Hours per Resident per Day
0.50000
Reported RN Staffing Hours per Resident per Day
0.38529
Reported Licensed Staffing Hours per Resident per Day
0.88529
Reported Total Nurse Staffing Hours per Resident per Day
1.96617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.26997
Expected LPN Staffing Hours per Resident per Day
0.59890
Expected RN Staffing Hours per Resident per Day
0.90621
Expected Total Nurse Staffing Hours per Resident per Day
3.77507
Adjusted CNA Staffing Hours per Resident per Day
1.16837
Adjusted LPN Staffing Hours per Resident per Day
0.69294
Adjusted RN Staffing Hours per Resident per Day
0.31769
Adjusted Total Nurse Staffing Hours per Resident per Day
2.09941
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
161
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
161
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
91.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
5363
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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