Bishop Drumm Care Center - Johnston Nursing Home

General Information

UPDATE
Federal Provider Number
165448
Provider Name
BISHOP DRUMM CARE CENTER
Provider Address
5837 WINWOOD DRIVE
JOHNSTON, IA 50131
Provider Phone Number
(515) 270-1100
Provider SSA County
760
Provider County Name
Polk
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BISHOP DRUMM RETIREMENT CENTER
Date First Approved to Provide Medicare and Medicaid services
2002-06-01
Continuing Care Retirement Community
Y
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
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.10308
Reported LPN Staffing Hours per Resident per Day
0.34538
Reported RN Staffing Hours per Resident per Day
0.76269
Reported Licensed Staffing Hours per Resident per Day
1.10808
Reported Total Nurse Staffing Hours per Resident per Day
4.21115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03115
Expected CNA Staffing Hours per Resident per Day
2.22136
Expected LPN Staffing Hours per Resident per Day
0.55522
Expected RN Staffing Hours per Resident per Day
0.82492
Expected Total Nurse Staffing Hours per Resident per Day
3.60150
Adjusted CNA Staffing Hours per Resident per Day
3.42764
Adjusted LPN Staffing Hours per Resident per Day
0.51631
Adjusted RN Staffing Hours per Resident per Day
0.69083
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71324
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
145
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
145
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
236
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
236
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
107
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
107
Total Weighted Health Survey Score
169.00000
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
4
Number of Fines
4
Total Amount of Fines in Dollars
170830
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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