Boone County Hospital - Boone Nursing Home
General Information
UPDATEFederal Provider Number
165558
Provider Name
BOONE COUNTY HOSPITAL
Provider Address
1015 UNION STREET
BOONE, IA 50036
BOONE, IA 50036
Provider Phone Number
5154323140
Provider SSA County
70
Provider County Name
Boone
Ownership Type
Non profit - Other
Number of Certified Beds
14
Number of Residents in Certified Beds
4
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
BOONE COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2005-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
0
QM Rating Footnote
Data Not Available
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.28750
Reported LPN Staffing Hours per Resident per Day
0.21250
Reported RN Staffing Hours per Resident per Day
2.65000
Reported Licensed Staffing Hours per Resident per Day
2.86250
Reported Total Nurse Staffing Hours per Resident per Day
3.15000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08750
Expected CNA Staffing Hours per Resident per Day
0.00000
Expected LPN Staffing Hours per Resident per Day
0.00000
Expected RN Staffing Hours per Resident per Day
0.00000
Expected Total Nurse Staffing Hours per Resident per Day
0.00000
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-12-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
4.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Westhaven Community
112 West Fourth Street |
BOONE IA 50036 | 0.9 mile away
Eastern Star Masonic Home
715 West Third Street |
BOONE IA 50036 | 1.3 miles away
Ogden Manor
625 East Oak Street |
OGDEN IA 50212 | 7.4 miles away
Madrid Home For The Aged
613 West North Street |
MADRID IA 50156 | 12.6 miles away
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