Bettendorf Health Care Center - Bettendorf Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
165280
Provider Name
BETTENDORF HEALTH CARE CENTER
Provider Address
2730 CROW CREEK ROAD
BETTENDORF, IA 52722
BETTENDORF, IA 52722
Provider Phone Number
(563) 332-7463
Provider SSA County
810
Provider County Name
Scott
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETTENDORF HEALTHCARE MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1996-05-01
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
2
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
2.01761
Reported LPN Staffing Hours per Resident per Day
0.42817
Reported RN Staffing Hours per Resident per Day
0.61479
Reported Licensed Staffing Hours per Resident per Day
1.04296
Reported Total Nurse Staffing Hours per Resident per Day
3.06057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03521
Expected CNA Staffing Hours per Resident per Day
2.70039
Expected LPN Staffing Hours per Resident per Day
0.66346
Expected RN Staffing Hours per Resident per Day
1.06499
Expected Total Nurse Staffing Hours per Resident per Day
4.42884
Adjusted CNA Staffing Hours per Resident per Day
1.83329
Adjusted LPN Staffing Hours per Resident per Day
0.53565
Adjusted RN Staffing Hours per Resident per Day
0.43134
Adjusted Total Nurse Staffing Hours per Resident per Day
2.78557
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
348
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
348
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
162.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
52828
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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